Expression of Interest PGCE and School Direct 2016/17 The ‘Expression of Interest’ form is for candidates who wish to speed up and simplify the teacher training application process by applying directly to the University of Sussex Partnership initially outside UCAS. Any offers given following the selection process will be conditional on a UCAS form being submitted at a later date to include two good references. A. Course applied for (up to 6 choices within the Sussex Partnership) Subject Course (PGCE, School Direct (Tuition Fee), School Direct (Salaried), or School Direct (SelfFunded) Lead School (School Direct only) B. The Candidates Personal details Title (tick one) Dr Mr Forenames Mrs Miss Ms Other Surname Former surname (if different) Address and Postcode Home phone Email Mobile phone Gender Male Do you have a disability? (including dyslexia) Date of Birth Female Yes No | Country of Birth | Nationality 1 C. The Candidate’s Education and Qualifications** C1 GCSEs (or equivalent) and A levels If you are using APPLY DIRECT TO SUSSEX because you have either a GCSE Maths or English equivalency test pending then please indicate this below giving intended dates and type of test/assessment. Subject Level GCSE or A/AS level Qualification and awarding body or details of alternative test or assessment. Grade Date of award or assessment m m y y Level GCSE Qualification/Awarding body/Other form of assessment Grade Date of award English Mathematics Science (Primary, Early Years and KS2/3 Maths or MFL only) Other GCSE’s Subject m m AS/A Levels Subject Level AS/A level C2 Qualification/Awarding body/Other form of assessment Grade y Date of award m m y Higher Education Candidates must have an UK first degree (or equivalent) qualification. Please note that most of those entering Initial Teacher Education courses at Sussex will have a 2:2 or above. First Degree Qualification obtained and subject/(s) Degree class First class honours [ ] Upper second [ ] Lower second [ ] Third [ ] m m Date of study from y y Pass [ ] m m y y To m m m Date of Award Institution of study Country of study 2 y y y y Title of course Main subject Percentage of course: % Subsidiary subjects Percentage of course: Percentage of course: Percentage of course: Percentage of course: % % % % Higher Degree (if applicable) Qualification obtained m m y y Date of study from m m y y To m m m y y Date of Award Institution of study Country of study Title of course Main subject Subsidiary subjects Percentage of course: Percentage of course: Percentage of course: % % % For qualifications other than an UK degree, give evidence below that the qualification is equivalent, and indicate whether you hold any relevant supporting statements e.g. UK NARIC verification or whether this is pending. D. CV showing Employment History and experience in school Please attach a CV giving details of both your employment history and any experience paid or voluntary in school and with children and young people. This is essential. Any Additional Information (Optional where relevant - you are not required to write a personal statement at this stage but if there is anything additional you wish those assessing your application to consider you could write it in this box) For any administrative queries regarding admissions please contact Greg Harris or Daniel Hobbs on iteadmissions@sussex.ac.uk 01273 873238 or for further non-administrative advice contact Sally Dudley s.e.dudley@sussex.ac.uk or 01273 877050 Please email this application form attaching your CV to iteadmissions@sussex.ac.uk as soon as possible. For ITE Admissions Office Use only Date application received……………………. 3