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* 1. Your name

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* 2. School email address

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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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* 6. Name of your SLT Sponsor.

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* 7. Email address of SLT Sponsor

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* 8. Please tick to confirm the following:

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* 9. What are you hoping to achieve by the end of June 2020?

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* 10. What questions would you value the opportunity to explore during the programme?

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* 11. What practical support and next steps would you most benefit from during the programme?

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* 12. Please tick all boxes to complete the application. I am committed to:

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