The Grand Union Training Partnership

PGCE Teacher Training Course Eligibility Application Form

This is a live form and you will need to complete eight pages of data fields. It will help you if you have the following information to hand:

Academic history, including GCSE, A Level qualifications as well as FE or University qualification
Employment history
Personal Statement (4-500 words max)
Information for two referees

Subject Information

Let us know which your chosen subject will be:

Chosen ITT Subject

About You

First Name

Middle Name

Surname

E-mail Address

Previous surnames (if any)

Surnames at Birth

Address (1)

Address (2)

Town

Postcode

Mobile Phone Number

Date of birth (format DD-MM-YYYY)

Gender Male Female

National Insurance Number

Disability

Do you consider yourself to have a learning disability or other disability?

Yes

No

Ethnic Group

Please choose from the list below.

Ethnic Group

Please give your Nationality (e.g. UK British)

Please give your National Identity (e.g. British/English)

Degree Qualifications

Please provide details of your Degree or equivalent qualifications.

Subject

Title e.g. BA (Hons)

Degree Classification

Entry date (format DD-MM-YYYY)

Completion date (format DD-MM-YYYY)

Name of institution

Main Subjects

GCSE/SQA or Equivalent Results

Maths GCSE Information

GCSE or Equivalent in Mathematics Level/Grade

GCSE or Equivalent in Mathematics Examining Body

GCSE or Equivalent in Mathematics Year Passed

English GCSE Information

GCSEor Equivalent in English Language Level/Grade

GCSE or Equivalent in English Language Examining Body

GCSE or Equivalent in English Language Year Passed

Science GCSE Information

GCSE or Equivalent in Science Level/Grade

GCSE or Equivalent in Science Examining Body

GCSE or Equivalent in Science Year Passed

Other GCSE Information

GCSE or Equivalent in Other Subjects

A Level or Equivalent Results

A Level and Other Qualifications Information

A Level 1 AS/SCE Highers or Equivalent Subject

A Level 1 AS/SCE Highers or Equivalent Grade

A Level 1 AS/SCE Highers or Equivalent Year

A Level 1 AS/SCE Highers or Equivalent Authority

A Level 2 AS/SCE Highers or Equivalent Subject

A Level 2 AS/SCE Highers or Equivalent Grade

A Level 2 AS/SCE Highers or Equivalent Year

A Level 2 AS/SCE Highers or Equivalent Authority

A Level 3 AS/SCE Highers or Equivalent Subject

A Levels 2 AS/SCE Highers or Equivalent Grade

A Level 2 AS/SCE Highers or Equivalent Year

A Level 3 AS/SCE Highers or Equivalent Authority

Other Relevant Qualifications

Previous Employment

Previous Employment (most recent first)

Supporting Information

Driving Licence

Do you hold a full Driving Licence?

Yes

No

Will you have the use of a car throughout the duration of the course?

Yes

No

Personal Statement

Please compose a personal statement in support of your application including any experience with young people (paid or unpaid). Include a brief description of why you want to train to become a teacher [up to 500 words].

Referees

You should give at least two professional referees

You are welcome to give details of other referees on a separate sheet. References will be sought from referees before a place on the course can be confirmed.

First Referee

Referee Name

Referee Address

Telephone

Referee Email

Position

Connection

Can we contact this referee before interview? Yes No

Second Referee

Referee Name

Referee Address

Telephone

Referee Email

Position

Connection

Can we contact this referee before interview? Yes No

Final Steps

How did you find out about the GUTP?

Tell us how you found out about us.

Criminal Convictions

This appointment is excluded from the Rehabilitation of Offenders Act 1974. Applications must declare any convictions which for other purposes are “Spent” and in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by the Authority. I will provide the information requested on the Disclosure of Criminal Conviction Form and understand that the provisionally selected candidate for such posts will be required to apply for a Criminal Records Bureau Disclosure at the appropriate level. Any information will be treated confidentially.

Please use your mouse or finger to sign in the box below.

Signature

Declaration

I confirm that the information that I have given is correct, complete and accurate and that no information requested has been omitted.

Please use your mouse or finger to sign in the box below.

Declaration Signature

Thank you

Thank you for completing this Eligibility Application Form. You will shortly receive a copy of your form entry details and we will contact you in due course with an update on your application.

The Grand Union Training Partnership

PGCE Teacher Training Course Eligibility Application Form

Subject Information

About You

Disability

Ethnic Group

Degree Qualifications

Please provide details of your Degree or equivalent qualifications.

GCSE/SQA or Equivalent Results

Maths GCSE Information

English GCSE Information

Science GCSE Information

Other GCSE Information

A Level or Equivalent Results

A Level and Other Qualifications Information

Previous Employment

Supporting Information

Driving Licence

Personal Statement

Referees

First Referee

Second Referee

Final Steps

How did you find out about the GUTP?

Criminal Convictions

Declaration

Thank you

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Contact Information

The Grand Union Teacher Training Partnership

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