Application for Participating Institutions

The following application is to be completed by schools and institutions willing to support/sponsor a distance-trained teacher for a minimum period of two months.

Name of Institution

Postal Address

Line 1
Line 2
Line 3
Country

Contact

e-mail address
phone number

Institutional Statement

Institutional Statement: We confirm that we meet the criteria for participation in the scheme. (See General Information for Schools and Institutions.)

Please tick

Teacher level

We would prefer an ACTDEC

Training salary

We are prepared to pay a training salary of

£
€

per month

Please indicate the salary figure in both pounds sterling and Euros. Currency converter

Further employment

We are to consider offering the candidate a further period of employment at an increased salary providing the candidate satisfactorily completes the teaching practice portfolio period.

Agreement

We have read the undertaking and are willing to agree to the conditions.

Please tick

Help with accommodation

We are willing to provide help in finding accommodation for the training period

with a local family
in shared accommodation
in bed and breakfast accommodation
in self-catering accommodation
in a guest house
in an inexpensive hotel

Age range of students

Age range of pupils/students

Teaching Commitment

Weekly Teaching Commitment

Type of courses

Further school details

Name of owner/principal
Director of studies
Number of permanent staff
Number of part-time staff
Average number of students
School web site address

Please check and submit