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* 1. School/setting:

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* 2. Name:

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* 3. EMail Contact (for confirmation of place/further details etc) - please avoid using personal email addresses where possible.

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* 4. Role:

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* 5. Any special dietary requirements:

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* 6. Any special access requirements?

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* 7. Please confirm that you understand that you will be asked to submit a brief report outlining three changes that you have made in your classroom/school as a result of attending the course.  This will be due at the end  at the end of June 2020.

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* 8. Whilst this course is part funded by DSPL3, the setting will be invoiced £200 towards the cost of the course. Please confirm that you understand and accept this:

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* 9. Please confirm that the applicant has been educated to at least undergraduate level - i.e. has a degree.

Please note that booking details (name, school, email address, course and data attended) will be recorded and stored by Hertfordshire County Council/DSPL3 for the purpose of attendance registers, analysis and contact in relation to training related matters.

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