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					                           OTTP Application Form: 2009 – 2010 Entry




             OVERSEAS TRAINED TEACHER PROGRAMME
                                    APPLICATION FORM
                Please complete this form using typescript or black ink and return it to
                                     EBITT Admissions Officer
                                            Admissions
                                   Newman University College
                                           Genners Lane
                                           Bartley Green
                                       Birmingham B32 3NT

Surname, Principal or Family Name                    Preferred Title (Dr Mr Mrs Miss Ms)


First Name/s (in full)


Permanent Address                                    Correspondence Address




Date of Birth                                        National Insurance Number


Telephone (home):                                                        Mobile:

Telephone (work):

Fax:                                                 Email:

Preferred Age Range (tick) Select two consecutive key stages only
 3–5    5 – 7                                        7–9

  9 – 11                11 – 14                          14 - 1616 - 19
Specialist Subject (Secondary)                       Number of years teaching (if
                                                     applicable)




                                             Page 1 of 8
                            OTTP Application Form: 2009 – 2010 Entry

Country of Birth                                       Nationality


Date of Entry to the UK                                Date of First Employment as a Teacher
                                                       within the UK


RELIGION                                               CATHOLIC               OTHER
Please tick


Equal Opportunities Monitoring Information: Ethnic Origin
Please tick one box
White British                                          White Irish
White Other                                            Black African
Black Caribbean                                        Black Other
Indian                                                 Bangladeshi
Pakistani                                              Chinese
Asian Other                                            White & Asian
White & Black African                                  White & Black Caribbean
Other Mixed                                            Not Known

Other – please give details…………………………………………………………………………………..

DISABILITY
Do you receive Student Disability Allowance?                         YES           NO
Please tick

Please tick appropriate box/es below – and indicate if you require any
support at interview and/or support during training.

                                 Support                                            Support
                                 Required                                           Required
                               Interview




                                                                                 Interview
                                           Training




                                                                                             Training
                                           During




                                                                                             During
                               At




                                                                                 At




 No Disability                                        Dyslexia
 Blind                                                Partially Sighted
 Deaf                                                 Hearing Impaired
 Wheelchair                                           Personal Care Support
 Mental Health Difficulty                             Unseen Disability
 Multiple Disabilities                                Mobility Problems

 Other – please give details………………………………………………….




                                               Page 2 of 8
                          OTTP Application Form: 2009 – 2010 Entry

Please attach copies of your academic qualifications related to the course applied for.
Applications without copies of academic qualifications attached will not be considered.
Academic Qualifications: GCSE or Equivalents
School/s    Date/s   Full        Qualification   Subject      Grade     Date of   NARIC
                     or Part     Obtained        and                    Award     Confirmation
                     Time                        Awarding                         Received?
                                                 Body




Academic Qualifications: Post-16
School/s    Date/s   Full        Qualification     Subject    Grade     Date of   NARIC
College/s            or Part     Obtained          and                  Award     Confirmation
                     Time                          Awarding                       Received?
                                                   Body




Academic Qualifications: Higher Education
College/s        Date/s   Full     Qualification    Subject     Grade    Date     NARIC
University/ies            or       Obtained         and         or       of       Confirmation
                          Part                      Awarding    Class    Award    Received?
                          Time                      Body




                                          Page 3 of 8
                     OTTP Application Form: 2009 – 2010 Entry



Professional Experience

Post Held          Employer                 Dates          Nature of Experience




Other Experience

Post Held          Employer                 Dates          Nature of Experience




                                   Page 4 of 8
                     OTTP Application Form: 2009 – 2010 Entry



Details for TDA Database

Have you ever been registered for,
failed or withdrawn from any teacher-
training programme in the UK                           YES NO 
previously?


Current Occupation (give details)




                                    Page 5 of 8
                      OTTP Application Form: 2009 – 2010 Entry


Support from School

Name of Lead School



School Type and Age Range



Name of Headteacher



Name of School Based Trainer



Contact Person in School



Address and Contact Details of Lead School




Telephone:                                   Fax:

Email:

Signature of Headteacher                                         Date




                                    Page 6 of 8
                          OTTP Application Form: 2009 – 2010 Entry

Please attach two written references. Applications without references attached will not
be considered.

Referee 1 – This should be a professional reference from the Lead School
based on the Reference Guidelines in the Lead School Information Booklet
handed by yourself to the School..
Title and Full Name


Status/Profession/Occupation


Address



Home Telephone                                 Work Telephone

Mobile                                         Fax

Email


Referee 2 – Academic or work related
Title and Full Name


Status/Profession/Occupation


Address



Home Telephone                                 Work Telephone

Mobile                                         Fax

Email



DECLARATION

I declare that the information given in this application is true and
complete. I understand that in accordance with the Data Protection Act my
information will be held electronically.
Signature                                                            Date


                                        Page 7 of 8
                               OTTP Application Form: 2009 – 2010 Entry




                                              CHECKLIST

IMPORTANT: In submitting your application you are stating that you are in
possession of all of your original certificates (from GCSE to degree or
equivalent) and that you have the full sponsorship of a suitable school.

YOU MUST INCLUDE THE FOLLOWING WITH YOUR APPLICATION –
     Item                                                                                Included
                                                                                           (tick)

1    Fully completed Application Form



2    Essay (1500 words) as detailed on P18 of the Application Guide



3    Copies of all original certificates
     (GCSE to Degree – or equivalent)



4    Your National Insurance Number



5    Copy of summary of Lead School’s most recent OfSTED Report



6    Copy of your CV



7    Copy of NARIC confirmation of overseas qualifications



8    Copy of CRB Enhanced Disclosure (if available at this stage)*



9    Copy of Health Check (if available at this stage)*



10   Copy of Visa



11   Copy of UK Work Permit



12   Copy of Essay given to School Representative



13   Lead School Information Booklet given to School Representative


14   AFTER INTERVIEW AND ACCEPTANCE

     Section R - Letter of support from the Headteacher of your Lead School confirming
     that you will be employed by the school during your period of training



15   The School Representative must bring an agreed timetable for the OTT to the
     interview for approval



* For more details please see Pages 25 & 26 of the Application Guide




                                                Page 8 of 8

				
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