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* 1. Name

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* 2. Current role

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* 3. County

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* 4. Teaching experience (list with dates)

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* 5. Leadership experience (list with dates)

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* 6. What is your current availability for delivering training (including possible overnight stays)?

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* 7. Please provide email and telephone contact details

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* 8. I am interested in training to deliver Thinking Reading training in schools.

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* 9. I am interested in being part of a focus group to help shape the design of the training programme.

Thank you! We will be in touch by Friday 14 September 2018 to follow up.

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