ࡱ> TVS` jbjb .J|c|c9XXXX<   8Xt< &0DD"fff"""%%%%%%%,P'R)\%" """%K#XXff9%K#K#K#"FX"ff%K#$$XXXX"%K#K#zrK#8  "K#K#L%0 &K#)K#)K#K#<< <<   Title: Mr/Mrs/Ms/Miss/Dr/other Surname Previous surname/s Forename/s: Date of Birth: Address: Home Tel: Mobile: email: Are you registered disabled? Yes / No If yes please give number: GCSE / O levels (subject, grade and dates):DateQualificationSubject  GCSE / A levels (subject, grade and dates):DateQualificationSubject  Higher Education University / College nameDates attendedQualificationSubject(s) Continue on separate sheet if necessary  Address & type of employment or experienceFull time / Part timeFromUntil     As you will be working with children you are exempt from the 1974 Rehabilitation of Offenders Act. We must know of ANY criminal convictions you have (other than motoring offences). Please give dates and details, or state NONE if you have no convictions. A check with the Criminal Records Bureau may be made as to the existence of any criminal record.Give details or state NONE here: I hereby certify that all the information given on this form is correct to the best of my knowledge, that all questions relating to me have been accurately and fully answered and that I am in possession of all the certificates and qualifications, which I claim to hold. Signed: Date:When you have completed this form please return it to: Hannah Glennon, Literacy Matters Ltd 30A Market Street, Disley, Stockport, Cheshire, SK12 2JD Tel: 08707 569569 Fax: 01663 766694 email:hannah@literacymatters.com Taster Course Application Form PAGE  PAGE 1 TDA Ref No: (Obtainable from TDA. Tel: 0845 6000 991) Section 1 Personal details Section 2 Education Please select the taster course you wish to apply for: (tick box) People from Ethnic Minorities [ ] Men [ ] Section 3 Details of Employment / Experience Section 4 Explain briefly why you wish to undertake a teaching taster course Section 5 Criminal Convictions Section 6 Declaration Where did you hear about the taster course?  01NO\]mnw  abdf jv     { ¶®¶¶¶¶˜~˜¶2jh0'CJOJQJUaJmHnHsH tH u*jh0'CJOJQJUaJmHnHuh0'CJaJh0'CJOJQJaJh0'CJOJQJaJh0'CJOJQJaJh0'jh0'UmHnHu&jh0'CJUmHnHsH tH u.     019:MN$Ifl    NO[\qaa$Ifl kd$$IflF8 HH(  t06    4 l4a\]lm$Ifl gkd$$IflH(( t064 l4amnwy$Ifl gkd$$$IflH(( t064 l4a  $Ifl gkd$$IflH(( t064 l4a  a$Ifl ikd$$IflH(( t064 l4aabef$Ifl ikd$$IflH(( t064 l4a.$Ifl kd$$Ifl\H(h  t(064 l4ap($Ifl   ^NNNN$Ifl kd;$$Ifl\H(h t064 l4a  .$Ifl kd$$Ifl\H(h  t(064 l4ap(Nkd$$Ifl\H(h t064 l4a$Ifl (BQ_j$Ifl jklm.$Ifl kd$$Ifl\H(h  t(064 l4ap(mnopqrstu$Ifl uv^\\\IIII$$Ifa$l kd$$Ifl\H(h t064 l4a.$Ifl kd$$Ifl\d 4"H(  t(064 l4ap(Nkd $$Ifl\d 4"H( t064 l4a$Ifl     NLLLLkdt $$Ifl\d 4"H( t064 l4a$Ifl    g h vwkd$ $$IflH((  t 06̙̙̙̙4 l4ap $Ifl {  f g h  : ; = ?             ) * ЮССЄvpvpvpvcvph0'0JmHnHu* h0'0Jjh0'0JUh0'h0'CJ OJQJaJ h0'OJQJh0':OJQJh0':CJOJQJaJ*jh0'CJOJQJUaJmHnHuh0'CJOJQJaJh0'CJOJQJaJh0'CJOJQJaJh0'CJOJQJh0'5CJOJQJaJ! $Ifl ikd $$IflcH(( t06̙4 l4a  xx$Ifl wkdi $$IflH(4)  t 06̙̙̙̙4 l4ap   ?          * }w}wh]h&`#$$a$$a$$a$gkd $$IflH(4) t06̙4 l4a * + , V W t u ()XY$a$* + , F T U W t u "#')XY׽ h0'CJh0'CJOJQJh0'CJOJQJh0'CJOJQJh0'CJOJQJ^JaJh0'+h0'B*CJOJQJ^JaJmH phsH h0'CJOJQJaJh0'CJOJQJaJh0'B*CJOJQJaJph,1h. 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