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* 1. Your name.

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* 2. Your school email.

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* 3. School/ Organisation name.

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* 4. Current role?

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* 5. Please enter your Teacher Reference Number (TRN). (Can be obtained from your school records)

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* 7. Headteacher name and email

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* 8. Please detail your involvement in coaching (informally or formally) both in and outside your school

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* 9. How do you hope your engagement in this programme will support your own development?

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* 10. Please tick all boxes for your application to be considered. I am committed to:

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