Tutor Registration Form

Tutor Registration Form

Please attach a full CV to accompany this document

Name: ……………………………..………………………... Contact Tel. no: ......

Address:……………………………………………………..

……………………………..………………………...... Mobile: ……………………………..

……………………………..………………………......

…………………………………Postcode:………………… National Insurance No:

Email: ………………………………………………………... …….…………………………………

Are you registered as self employed? (All tutors undertake to pay their own tax) YES / NO

Are you registered with the Institute for Learning (IFL)? YES / NO

www.instituteforlearning.org

Do you have any unspent criminal convictions? YES / NO

If so, please give details of offences, convictions and dates:

……………………………………………………………………………......

......

Do you have a current CRB certificate (Enhanced)? YES / NO Date:………………………...

It is Creative Arts East’s policy to retain copies of tutors current CRB certificates. Please staple a photocopy to this form.

Please list your key tutoring skills below:

Circus/Street arts Song Writing MC’ing Music

Dance/Movement DJ-ing Spray Art Photography

Animation/Filmmaking Creative Writing/Poetry Drama

Singing Puppetry Digital Media Sculpture/3D

Fine Art Craft-based Other (Please state)

Other than that given in your CV, please detail all professional development and training undertaken in the last 3 years (inc. first aid, conflict management, etc.):

I have experience with the following learner groups (please specify):

Children and young people in: Pre-school Yr1-6 Yr7-13

Gifted & talented young people Pre-/NEET young people

Older people Ex/Offenders BME Communities

Learners with learning difficulties and/or disabilities

Other than that given in your CV, please outline details of any tutoring experience, this can include Peer Mentoring and Volunteer work:

Availability: Weekdays Weekends Evenings Bank Holidays School Holidays

Do you drive? Yes No Do you have your own car? Yes No

Do you have special access or medical requirements? Please detail:

…………………………………………………………………………………………………………………….

Training: Would you be happy to attend training days and courses that we may run or recommend that you attend? Yes No

Please specify any learner groups that you are particularly interested in working with in the future:

…………………………………………………………………………………………………………………….

If you have not worked for CAE in the last 2 years, please detail two references who can vouch for your experience (ideally, people you have freelanced for before):

Reference 1 Reference 2

Name:…………………………………………….. ………………………………… ……………..

Organisation:…………………………………….. ………………………………… ……………..

Address:………………………………………….. ………………………………… ……………..

………………………………………………...... ………………………………………………...

Tel No:……………………………………………… ………………………………… ……………..

Please keep us informed of any changes in your details.

Signed…………………………………………….. Date: ………………………………………..

FREELANCERS’ MONITORING FORM

Name
Date of birth
Male or female
Nationality
Do you consider yourself disabled? If so, please provide information of any special arrangements you need

Ethnic Origin:

Asian or Asian British – Bangladeshi o

Asian or Asian British – Indian o

Asian or Asian British – Pakistani o

Any other Asian background o

Black or Black British – African o

Black or Black British – Caribbean o

Any other Black background o

Chinese o

White – British o

White – Other o

Any other ethnic group o

Mixed – white and Asian o

Mixed – White and Black African o

Mixed – White and Black Caribbean o

Any other mixed background o

This information is for Creative Arts East diversity monitoring records only and does not influence our tutor selection process.

Please return the completed form to: Creative Arts East

Griffin Court

6 Market Street

Wymondham

Norfolk NR18 0GU

If you have any queries please telephone: 01953 713396

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