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Applications have re-opened for Sept 2012 in the following subjects:

Mathematics
Design and Technology
Information Communication Technology
Religious Education

Please complete the application form below.

SCITT Application form

SCITT Application form

Personal Details
Title*
Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Home telephone no.
Moblie No*
Email*
Is this your permanent abode*
- Yes
- No
Dates not available for interview
Further Details
Nationality*
Are you an*
- Overseas Student
- Home/EU Student
Who will pay your course fees?*
- SLC (Tuition fee loan)
- Self
Proposed teaching subject*
Have you failed or withdrawn from a QTS course?*
- Yes
- No
Give the name of previous course and provider
Qualifications
Your GCSE Qualifications*
Please provide a list of your GCSE/O'Level qualifications. Include a the grade and the year the qualification was gained.
A'/AS Level Subjects*
Please provide a list of your A'/AS Level qualifications. Include a the grade and the year the qualification was gained.
Are you applying to take equivalence tests?
- Yes
- No
Equivalence tests must be booked with www.equivalencytesting.com by 2nd April 2010
Degrees*
Please provide details of any degree level qualifications including the subject, university, grade (must be a minimum of a 2:2), course elements and the dates you attended the course.
Additional Qualifications
Please give details of any other qualifications you have gained including the title, main subject awarding body and period of study
Employment history*
Beginning with your current or most recent employment please provide your post title, employers name and address and the dates you held the position.
Other relevant experience/achievements
Please provide details of and dates of any other relevant experience or achievements.
Statement to support your Application
Please explain why you wish to join the teaching profession and specifically why you wish to teach your chosen subject. Include your aspirations, your qualities and the skills that you will bring to teaching.
Statement*
Rehabilitation of offenders act 1974 (exceptions) order 1975
IMPORTANT NOTE FOR ALL PERSONS APPLYING FOR POSITIONS IN SCHOOLS AND COLLEGES, AND OTHERS WHO WILL WORK WITH YOUNG PERSONS UNDER AGE 18. The Rehabilitation of Offenders Act 1974 (exceptions) Order 1975 does not allow employees with access to children and young persons under the age of 18 years the right to withhold information regarding previous criminal convictions, including cautions, for any offence (not just those involving children) which for other purposes are ‘spent’ under the provisions of the Act. You should disclose in this section any previous convictions. Any information given, either when returning this application form or at interview will be entirely confidential and will be considered only in relation to this application. Failure to disclose any previous convictions could result in dismissal from the course should it be subsequently discovered. Police checks from Spring 2002 will be replaced by enhanced arrangements through the Criminal Records Bureau. If the checks reveal any undisclosed convictions the Titan Executive Committee reserve the right to withdraw the offer of a place on the course.
Have you been convicted at any time, of any criminal offence, other than a minor offence involving a motor vehicle(s)?*
- Yes, I have a conviction, caution or bind-over
- No, I have no convictions, cautions or bind-overs
Declarations*
- I declare that I am not on List 99 or disqualified from working with children
- I declare that I have not been accused of a criminal offence, where the case is still ongoing
If yes, please give details on a separate sheet and put it in a sealed envelope marked ‘Confidential’ and send it to Titan or upload below
Details of Conviction or Caution
Data Protection Act
The information collected in the form will be used in compliance with the Data Protection Act 1998. The information is being collected by Titan Partnership Ltd for the purpose of administering the enrolment and training of trainee teachers. The information may be disclosed, as appropriate, within the Education Service, to school governors, to Occupational Health, to the General Teaching Council, to the Training and Development Agency, and to relevant statutory bodies. You should also note that because we have a duty to protect the public funds we handle, we might need to use the information you have provided on this form to prevent and detect fraud. We may also share this information for the same purposes with other organisations, which handle public funds.
Referees
Please give details of two referees - one academic and one recent character reference.
Name*
Address*
Post Code*
Daytime Tel*
Email*
Post/Occupation/ Relationship*
Name*
Address*
Post Code*
Daytime tel*
Email*
Post/Occupation/ Relationship
Declaration
I hereby certify that all the information given on this form is correct to the best of my knowledge and that all the questions related to me have been accurately and fully answered, and that I am in possession of the certificates I claim to hold. I understand that should the information given in this application be incorrect it may render my application invalid.
Are you related to a member of staff within the Titan Partnership or its partner schools?*
- Yes
- No
Recruitment Monitoring
Please note that the information obtained in this section will not be used as part of the selection process.
Country of Birth
Nationality
Date of Birth
Please indicate ethnic origin using the codes below:
- 10 - White
- 11 - White British
- 12 - White Irish
- 19 - Other White Background
- 21 - Black or Black British Caribbean
- 22 - Black or Black British African
- 29 - Other Black Background
- 31 - Asian or Asian British Indian
- 32 - Asian or Asian British Pakistani
- 33 - Asian or Asian British Bangladeshi
- 34 - Chinese
- 39 - Other Asian Background
- 41 - Mixed White and Black Caribbean
- 42 - Mixed White and Back African
- 43 - Mixed White and Asian
- 49 - Other Mixed Background
- 80 - Other
How did you hear about the Titan*
(e.g. publication, recommendation)
Monitoring - Medical Information
If a place is offered to you, it would be conditional upon your completing a medical questionnaire. Medical questionnaires will be assessed by an independent medical advisor. You may be required to undertake a medical examination as a result of the questionnaire.
Do you have a disability*
- Yes
- No
e.g. dyslexia, partially sighted
Please state
Do you suffer from any ongoing medical conditions*
- Yes
- No
e.g. diabetes, arthritis
Please State
Are you registered disabled
- Yes
- No

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