Registration form

1. PERSONAL DETAILS

Surname: *

First name: *

Title: *

Address: *

Postcode: *

Contact telephone number: *

Email:

Preferred contact:

Telephone

Letter

Date of birth: (dd/mm/yyyy)

Status *

Refugee Status

Indefinite Leave to Remain

Discretionary Leave to Remain

Humanitarian Protection

Asylum Seeker

Other

If other, please give details:

When was your status granted? (dd/mm/yyyy)

Are you a citizen of an EU country?

Yes

If yes, of which country?

Country of origin:

Date of UK arrival: (dd/mm/yyyy)

Do you have any other particular needs, such as childcare or disabilities?

Yes

If yes, please give details:

2. EMPLOYMENT IN THE UK

What subject/s are you interested in?

What age group are you interested in?

Primary (5-11)

Secondary (11-18)

Further education (16+)

Why do you want to become a teacher in the UK?

Do you have teaching or related experience in the UK, e.g. classroom assistant, volunteering, youth work, training programmes?

Yes

If yes, please give details (school or related place, full/part time, subject, ages, dates):

Have you been Criminal Records Bureau (CRB) checked?

Yes

Don't know

If yes, give dates:

3. TEACHING AND OTHER EXPERIENCE OUTSIDE THE UK

Please give details of school/institution, full/part-time, subject, ages taught, dates:

Other relevant experience:

4. QUALIFICATIONS

What is your first language?

What other language/s do you speak?

What qualifications do you have (please give details of institution and country, subject/s, name and level of qualification, grades, dates)?

Do you have your original documents or certificates?

Yes

Has NARIC compared your qualifications?

Yes

Don't know

If yes, please give details:

If you have a teaching qualification, has NARIC assessed this?

Yes

Don't know

If yes, please give details:

Do you have GCSE English A*-C or equivalent?

Yes

Don't know

If not, please give details of English courses have you taken.

Do you have GCSE Maths A*-C or equivalent?

Yes

Don't know

If not, please give details of Maths courses have you taken.

Do you have GCSE Science A*-C or equivalent and want to teach Primary?

Yes

Don't know

5. COMMENTS

How did you hear about the project?

Have you contacted any other organisations about teaching in the UK (please give details)?

Have you ever applied for Initial Teacher Training before, such as a PGCE?

Yes

If yes, please give details.

What problems have you had retraining?

access to advice

costs

qualifications

confidence with the UK system

language problems

childcare

travel

other

If other, please give details:

Any other comments:

6. DATA PROTECTION

Data Protection In line with the Data Protection Act 1998, the Refugee Council will securely hold the personal data given above on an electronic database and in hard copy. We will use the information stored on this form to contact you on how the project can help you. Your details will be shared with our partners and other voluntary and statutory organisations relevant to the project. They will also be used for the compilation of monitoring statistics, and held for the duration of the project.

Please tick the box to confirm that you understand that the Refugee Council will hold your details securely, and that you are willing for your details to be shared with other organisations for the purpose of the project.

7. OTHER

Please tick this box if you would like to receive information related to the project. This will be in the form of a newsletter no more than once a month, and occasional information on relevant services.

Please give today's date: (dd/mm/yyyy)