National Induction Programme for Teachers (2010-2011) School Details Form School Details School Name Principal Name School Address Roll No. Tel No. Email address Mentor Details Mentor Name Mobile Number Email address NQT Details NQT # 1 NQT # 2 NQT # 3 Name Mobile Number Email Address Class Education College/ Qualifications University Year of graduation Award (eg. HDip, B.Ed etc.) Other College/ Qualifications University Year of graduation Award (eg. HDip, B.Ed etc.) Teacher Status (Permanent, temporary, provisional recognition, substitute) Registered with Teaching Council (yes or no) First year in a mainstream class (yes or no). If no, please give details. Are you undertaking probation this year? (yes or no). Please sign here Signature: Signature: Signature: ___________________________ ____________________________ _______________________________ Date: Date: Date: On behalf of ________________________________________ (insert school name) we agree to implement the elements of the National Induction Programme for Teachers. Principal Signature ______________________________ Mentor Signature____________________________________ Date: _____________________ Please complete this form and return to Suzanne Stone, National Induction Programme for Teachers, St. Patrick’s College, Drumcondra, Dublin 9 as soon as possible. Queries to Suzanne at firstname.lastname@example.org or on 01 884 2257. The National Induction Programme complies with Data Protection Standards.
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