Paid Internship Application Form - St Peter's Solihull Teaching School Alliance

You will need your Get into Teaching number to complete this form. If you do not already have a get into teaching number you can register at www.getintoteaching.education.gov.uk/user/register

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* 1. Which internship are you applying for? We are only funded to offer internships in the following subjects listed. Some study routes will qualify you to enter in more than one subject; for example many engineering degrees meet the criteria for both physics and Maths entry or if you have an A -level in Maths/Physics but are interested in teaching one of the below.

Maths

Physics

Maths & Physics

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* 2. What is your current year of study? please explain how your course is structured below eg year 2 of a 3 year course.. Please note that the decision on whether we can accept your application may need to go out to our funding body, the NCTL.

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* 3. Which University are you studying at?

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* 4. What degree are you studying?

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* 5. Can you confirm that you are available for the whole period of the internship? The scheme will require your attendance for Monday to Friday full days between Monday 20th June - Friday 8th July.

Yes

Other (please specify)

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* 6. Are you a member of the DBS update service? (Please note you do not need to have DBS checks already in place as St. Peter’s will carry out all safeguarding checks if your application is successful).

Yes

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* 7. If successful do you consent to undergoing a DBS?

Yes

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* 8. Qualifications. Please list all GCSE

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

GCSE Subject

Date Obtained

Grade

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* 9. Qualifications. Please list all A Level results

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

A Level subject

Date Obtained

Grade

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* 10. Home Address

Name

Address

Address 2

City/Town

Postal Code

Country

Personal Email Address

Phone Number

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* 11. University address (if different from home address)

Name

Address

Address 2

City/Town

Postal Code

Country

University email address

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* 12. Date of Birth

DOB

Date

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* 13. Gender

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* 14. Nationality

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* 15. Ethnicity

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* 16. Please list any medical needs/disabilities/medication

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* 17. Emergency Contact

Name

Relationship to you

Contact number

Paid Internship Application Form - St Peter's Solihull Teaching School Alliance

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* 2. What is your current year of study? please explain how your course is structured below eg year 2 of a 3 year course.. Please note that the decision on whether we can accept your application may need to go out to our funding body, the NCTL.

Question Title

* 3. Which University are you studying at?

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* 4. What degree are you studying?

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* 5. Can you confirm that you are available for the whole period of the internship? The scheme will require your attendance for Monday to Friday full days between Monday 20th June - Friday 8th July.

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* 6. Are you a member of the DBS update service? (Please note you do not need to have DBS checks already in place as St. Peter’s will carry out all safeguarding checks if your application is successful).

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* 7. If successful do you consent to undergoing a DBS?

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* 8. Qualifications. Please list all GCSE

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* 9. Qualifications. Please list all A Level results

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* 10. Home Address

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* 11. University address (if different from home address)

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* 12. Date of Birth

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* 13. Gender

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* 14. Nationality

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* 15. Ethnicity

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* 16. Please list any medical needs/disabilities/medication

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* 17. Emergency Contact

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* 18. How do you intend to travel from your home address to your placement school?

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* 19. How did you hear about the Internship Scheme?