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* 1. Name

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* 2. School

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* 3. School Email Address

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* 4. Role

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* 5. I am clear about the purpose of this professional development opportunity 

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* 6. I have spoken to my line manager / head teacher before engaging with this professional development opportunity 

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* 7. I am aware of the dates of the programme
Session 1:  02/02/2021  4 - 5:15pm
Session 2:  11/03/2021   4 - 5:15pm
Session 3:  26/04/2021  4 - 5:15pm

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* 8. I can attend on the dates outlined

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* 9. I understand that places are limited and I will give 48 hrs notice if I need to cancel should I no longer be able to attend 

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* 10. I understand there may be a short pre-task and follow up tasks as part of this professional development opportunity which will support me to apply what I'm learning to my own context

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* 11. What you are hoping to achieve by engaging with this professional development

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* 12. Do you have any questions which would need answering before the start of this professional development opportunity

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* 13. Is there anything you would like us to include

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