Exit this survey #RECT18 Question Title * 1. Your ATL, NUT or NEU Membership Given Name Family Name Membership Number Question Title * 2. We will need to contact you to confirm details of the event please complete the details below.NB When entering telephone numbers please leave a space after the area code. Home Address Email Address Home Phone Mobile Phone Work Phone Question Title * 3. Where do you work? Name of establishment Name of NUT School Rep Question Title * 4. Which Local Authority do you work for (if more than one, which one do you mainly work for)? Cumbria Darlington Durham Gateshead Hartlepool Middlesbrough Newcastle North Tyneside North Yorkshire Northumberland Redcar & Cleveland South Tyneside Stockton Sunderland York Question Title * 5. What phase do you work in? FS KS1 KS2 KS3 KS4 Question Title * 6. Are you? Classroom teacher TLR Leadership group Question Title * 7. How many years have you been teaching? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Question Title * 8. RECT is a residential event and, unless you select one of the options below, single accommodation will automatically be reserved for you on Friday and Saturday evening.If you wish to share a room with a friend or partner please say so in the box below otherwise you will both be allocated separate rooms.Friends and partners who are not participants will need to pay for meals and any supplementary room charges.If you only wish to stay for one night an evening meal will only be provided on that day. Lunch will be provided for day delegates but no evening meal or accommodation. Friday evening only Saturday evening only Day Delegate Other (please specify) Question Title * 9. Do you have any dietary requirements (eg vegetarian)? If so, please specify. Question Title * 10. Do you have any access/accommodation requirements (eg mobility assistance or large print documents)? If so, please specify. Question Title * 11. Do you have any requests for Workshop Sessions (one request per line)? 1) 2) 3) Question Title * 12. Have you attended a RECT weekend before? Yes No Question Title * 13. RECT is free for members; however, there will be a £50 charge, as a contribution towards the cancellation fee, if you do not attend without providing adequate notice and reason for non-attendance.Do you accept these terms? Yes No Question Title * 14. FOR OFFICE USE ONLY Submit application for #RECT18
