School details form 2010 2011rtf by KyJg7XE

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									                        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 suzanne.stone@spd.dcu.ie or on 01 884 2257.



             The National Induction Programme complies with Data Protection Standards.

								
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