Professional Practice Placement Arrangements

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This form is for University-Led Offer Holders only. If you are holding an offer for a Lead Partner route you do not need to complete this form

Please ensure that you have read and understood the terms detailed within the Arrangements for Professional Practice Letter before completing this form:

Primary and Early Years University-Led Arrangements for Professional Practice LetterLink opens in a new window

Secondary University-Led Arrangements for Professional Practice LetterLink opens in a new window

In order to provide you with a suitable placement, the following information is required.
Please complete the below form fully as soon as possible. If you have any questions regarding this form, please contact Partnership@warwick.ac.uk

ABOUT YOU

Warwick ID

Title:|Title:

First Name:

Surname:|Surname:

Course

Subject (Secondary Only)

If MFL, what is your main language specialism, and where applicable, a second language. This should have been agreed at interview.

Please state below your proficiency for each MFL language – i.e. Degree level Spanish, A-level French

For contact prior to your arrival please provide a reliable telephone number and email address

Home Telephone

Mobile Number

Email:

Yes

Please provide details of where you are likely to be living whilst completing your course. This information is used to aid us in placing you with our partner schools, depending on the placement offers available, and it is important that you complete it. If you do not have full address details at this stage, please indicate the area you are likely to be living in

Address line 1

Address line 2

Town or city

County

Postcode

Or please select an area you are likely to be living in

If other please state here:

Transport arrangements

Type of Driving Licence

Yes

Date driving licence awarded (type ‘n/a’ if not applicable)

YOUR NQT YEAR

Please indicate the geographical area(s) where you intend to apply for your first teaching role. We may take this information into account to tailor your placements.

If “Other” please state:

YOUR DEGREE AND EXPERIENCE

Title of Degree(s) awarded (or to be awarded):|Title of Degree(s) awarded (or to be awarded):

Degree Class (if known):

PLACEMENT INFORMATION

Have you completed the University of Warwick Introduction to Teaching module as an undergraduate or Student Associates Scheme (SAS)?

If you completed another University’s Student Associates Scheme (SAS), please indicate which University:

Please answer the following fully

The University requires that you disclose any school/setting with which you have ANY connections, previous or current.
Please name ALL schools with which you have connections, e.g. where you have family/friends, where you have worked, trained or volunteered, where you have been a governor, or which you attended as a pupil.
Please state the connection in each case.

Yes

If yes, please give details

Are there any other specific personal commitments or circumstances which you would like us to take into consideration when organising your placements? Remember, our assessment of your training needs along with the availability of suitable placements will always be central to the decisions we make regarding your professional practice. (40 words maximum)

PLEASE KEEP US UP TO DATE WITH ANY CHANGES TO YOUR CIRCUMSTANCES by emailing partnership@warwick.ac.uk

Please tick this box to indicate that you have read the ‘Arrangements for Professional Practice’ Letter and that you accept that (a) you may be required to travel for a minimum of one hour each way by car, or significantly longer by public transport to your placement schools and (b) if applicable, you fully understand the context provided about consideration of any family/care commitments. Please also note that the University does not normally pay expenses for travel to placements: (required)

Yes, I have read the document and accept the above requirements.

The information you provide in this form will be used by the University of Warwick only. Your information will not be passed on to third parties. However, if you have special requirements which might require reasonable adjustments to be made whilst on placement it would be helpful if you gave us permission to discuss your requirements with your placement school.|The information you provide in this form will be used by the University of Warwick only. Your information will not be passed on to third parties. However, if you have special requirements which might require reasonable adjustments to be made whilst on placement it would be helpful if you gave us permission to discuss your requirements with your placement school. (required)

I give permission for Centre for Teacher Education to record my personal data for use by the University.

Yes|Yes|Yes

No|No|No

Please ensure that you retain a copy of this form by completing the 'Receipt Details' section on submission of this form.

Privacy notice

The information you provide in this form will be used by the University of Warwick only. Your information will not be passed on to third parties except, with your permission, to your placement schools.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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