NQT Induction Registration Form

Please complete a separate form for each NQT and return it to the OTSA Administrator (or register on NQT Manager).

The information requested is required for submission to the TRA.

NQT PERSONAL DETAILS
Title
Full Name*
(including previous surnames)
Date of birth
Teacher Reference Number
Email address**
Home Address:
Contact Telephone numbers: / Mobile: / School: / Home:
SCHOOL/COLLEGE DETAILS
School/College:
School/College Address:
Induction Tutor (Mentor) Name:
Does the Induction Tutor (Mentor) have previous experience in this role?
(please give brief details)
Induction Tutor (Mentor) email address**:
Induction Co-ordinator name:
(If applicable)
Induction Co-ordinator email address**:
Phase: Nursery/Primary/Secondary/Special
(delete as appropriate) / Year(s) NQT is to teach: / Subject(s)(Secondary only):
Type of Contract:
(delete as appropriate) / Full-time/Part-time / If part time, state FTE: / Permanent/Temporary
Start Date: / If Temporary Contract, please state reason for Temporary Contract and End Date:

*These details must be exactly the same as those registered with the Teaching Regulation Agency, including middle name(s) where those were registered. **Email addresses provided should preferably be the NQT or Tutor’s individual organisation email address and not a generic email account e.g. school office.

INITIAL TEACHER TRAINING AND ANY PREVIOUS INDUCTION
Name of Initial Teacher Training Establishment:
Type of Award gained: / B Ed
B Ed (Hons)
BA (Hons) with QTS
BA (Hons) with QTS (Troops to Teachers)
BA QTS
BSc QTS
CertEd
GTP
HDPE / M Ed
MA (Hons)
MSc (Hons)
OTT with UK QTS
PG Cert
PGCE
PGDip
PGSE
PGSTE / RTP
School Direct
School Direct with QTS
School Direct with QTS/PGCE
SCITT with QTS
SCITT with QTS/PGCE
Teach First
Troops to Teachers
Other
Qualified Subject(s):
Qualified age range(s):
Have you completed any part of the NQT induction period in another school? / YES/NO
If YES:
School name(s):
Address(es)
School Telephone Number(s): / Appropriate Body:
No of days absence: / Start and end dates at each school:
How many Induction Period Assessments have been completed?
Please forward copies of any previous NQT Assessment forms to the OTSA Administrator
ETHNICITY
White / British / □ / Irish / □ / Any other White
Background / □
Mixed / White/Black Caribbean / □ / White/Black
African / □ / White/Asian / □ / Any other Mixed
Background / □
Asian or Asian British / Indian / □ / Pakistani / □ / Bangladeshi / □ / Any other Asian background / □
Black or Black British / Caribbean / □ / African / □ / Any other black background / □
Other Ethnic groups / Chinese / □ / Any other Ethnic Group / □ / Not stated / □ / Please add if not listed

If the NQT changes school/college, or home address,

during the induction period you must notify the

OTSA Administrator.