ATL London Wide - 5 March 2016

Event Name & Date

Thank you for expressing an interest in attending London Wide, ATL's free CPD network event.

In order to request a place on a session(s) at London Wide, please complete the following booking form.

Please note by completing this form you do not automatically obtain a place on the course, please wait to receive a confirmation email from us.

All questions marked * must be answered in order to submit your request.

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* 1. ATL Member?

Yes

Non-member

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* 2. About You:

First Name: *

Surname Name *

ATL membership no:

Branch

Email Address: *

Please double-check that you have entered your email address correctly. We regularly recieve requests where an email address has been mistyped.

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* 3. Place of study, workplace or supply?

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* 4. Type?

Prep

Primary

Secondary

All-through

Other (please specify)

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* 5. Status

Maintained

Academy

Independent

Free school

Other (please specify)

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* 6. Your Role:

Student

NQT

Teacher

Support Staff

Head of Subject/Department

Manager/Leadership

Supply Teacher

Not currently working

Retired

Other (please specify)

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* 7. Does your workplace have an ATL rep or contact?

YES - I'm the rep/contact

YES - someone else is the rep/contact

NO - there is no rep in my workplace

DON'T KNOW - I don't know if there is or is not a rep/contact in my workplace