Primary Mathematics Teaching for Mastery Specialist
Programme
Application
Together with your headteacher, please complete all sections of this form and return the
completed form, copying in your headteacher, by email to mathshubs@ncetm.org.uk by 5
pm on 4 June 2015 at the latest. You will be asked to nominate a first and second choice
Maths Hub, through which your application will be channelled. Details of Maths Hub leads
schools can be found at www.mathshubs.org.uk.
On receipt of your application, you will receive a confirmation email from the NCETM. If you do not receive
this confirmation after a few days, please notify the NCETM at the above email address.
APPLICANT DETAILS
Surname
Forename
Title
Date of Birth
Home Address
School
School Address
Postcode
School telephone
Postcode
School e-mail
Home telephone
Name of Headteacher
Personal mobile telephone
e-mail
Number of pupils on school roll
Your Job Title(s)
Which Maths Hub do you want to consider your
application?
The Year Group(s) you will teach in 2015/16
1st choice
2nd choice
Please now complete the following sections, giving as much detail as you can, particularly
about your experience of teaching mathematics and, if relevant, of supporting other
teachers with their mathematics teaching:
I am a primary school teacher and have English Qualified Teacher Status (QTS)
Yes / No
If yes, please supply information requested below:
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Number of years you have been employed as a teacher:
Which year groups do you currently teach:
Other year groups you have taught:
Was mathematics a specialism on your initial teacher training course: Yes / No
In how many classes do you currently teach mathematics?
Please give more detail below and add the planned information for 2015/16
Year Group
2014/15
2015/16
Number of Classes
Are there plans for more specialist teaching of mathematics in your school? Yes/No
If Yes, please give details:
Please give details of your current areas of responsibility within your school, or more
widely
Teaching History (most recent post first)
Dates (start & end)
Employer
Position held
Please give details of mathematics-specific qualification(s)
Year of
Awarding
Subject
Level
Examination
Body
Nature of work
Grade Achieved
Please give details of mathematics-related professional development you have undertaken
Year
Professional Development
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Please give details of any mathematics related awarded-status (eg MaST teacher,
Mathematics SLE, NCETM Accredited PD Lead)
Year
Status
Please give examples of your experience in supporting other teachers in their mathematics
(eg as maths coordinator, MaST, SLE or PD Lead)
Applicant Statement Please supply further information you wish to offer in support of your application to become a specialist in
teaching mathematics for mastery. Include recent developments in your own classroom practice, influence on others, and any direct
involvement in the school development of mathematics. Maximum 300 words.
References Please ensure your Headteacher completes the separate sections of this form in support of your application.
Declaration
I certify that to the best of my knowledge the information contained in this application form is
correct and complete, and if selected for the programme I agree to fulfil the required commitments
in terms of:
 Attending 3 x 2 day residential events in October 2015, January 2016 and March 2016
 Teaching mathematics for mastery in my own class and potentially other classes
 Leading teacher research groups: Year 1

1 x weekly teacher research group in my own school – involving at least one
other teacher
1 per half term for teachers from other schools (up to 10 teachers per session,
starting in the spring term 2016)
Leading teacher research groups: Year 2
-
1 x weekly teacher research group in my own school – involving at least one
other teacher
5 per half term for teachers from other schools (up to 10 teachers per session).
I have read and agree to the declaration above. I consent to the content of this form being
passed by the NCETM to Maths Hubs in my region:
Print Name:
Date:
Signature:
Not necessary in emailed application. You may be asked to sign a hard copy document if chosen for the programme
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Primary Mathematics Teaching for Mastery Specialist Programme
Headteacher Reference
Please complete all sections below
Name of Headteacher:
School
Name of Applicant
Please elaborate on:
Your commitment to the development of teaching for mastery in mathematics throughout the
school
The applicant’s mathematics teaching skills
The applicant’s ability to support other teachers
The applicant’s general professional qualities, eg commitment, organisation skills
I declare that, should the applicant be successful, I will support their developing role and ensure
they have the necessary release time as detailed in the programme criteria
Print Name
Date
Signature
Not necessary in emailed application. You may be asked to sign a hard copy document if your school’s applicant is chosen for the
programme
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