Expression of Interest Form 2016/17 [DOC 246.00KB]

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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
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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…………………….
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