Early Years Initial Teacher Training (Early Years ITT)
Post Graduate Certificate: Early Years Education in Practice
Graduate Entry-employment Based, Part Time Progression Route
APPLICATION FORM
Please note this programme starts every September and is taught at our Canterbury campus.
Please complete this application form if you are a Graduate new to the early years sector
applying to undertake Early Years ITT through an employment based route.
The Application Form will be the basis of our computer record and records held by your University,
Department/Faculty and Tutor. Please complete it carefully, using BLOCK CAPITALS in black ink or biro.
All items should be complete, please ensure that signatures are given in sections 5, 7 and 8.
The earlier we receive your application, the sooner you will be offered an interview. Please note that this pathway has
limited funded places.
REFERENCES
You must include with this application TWO signed references on headed notepaper recommending you for the
programme. The references should be from parties who can verify your suitability to work with young children
successfully. Referees should provide within the letter their name, address, job title and relationship to you.
Employer Learning Support Agreement
As part of the application
a) You must ask your employer to compete section five of this application form agreeing for you to undertake the
academic and placement requirements of the programme.
b) If you are the Employer of the Early Years setting you will need to sign to agree that you will adhere to the
academic, financial and placement requirements of the programme.
QUALIFICATIONS
All entrants to early years teaching in England are required to have a UK degree or equivalent qualification. Those
entering graduate Early Years ITT programmes need to have attained a degree-level qualification before they commence
the programme.
In addition to a UK degree or equivalent entrants are also required to have GCSEs (or equivalent) in English Language,
Mathematics and Science at grade C or above.
All entrants beginning Early Years ITT will need to have passed the national professional skills tests prior to entry. If you
are selected for interview, we would strongly encourage you to have attempted both the skills tests at least once before
you come for interview.
http://www.education.gov.uk/schools/careers/traininganddevelopment/professional
We are required to carry out Enhanced DBS clearance for all students on Early Years Teacher Status, even if you already
currently hold this in your setting. Further details relating to DBS clearance will be given if your application is
successful.
SECTION ONE - Please complete this section in BLOCK CAPITALS
Personal Details
Family/Surname:
First Names:
Previous family/surname at 16th
birthday:
Title:
Date of birth
National Insurance Number:
Nationality:
Country of Birth:
Area of Permanent
If not born in the UK, please
Residence:
give date of first entry:
Correspondence
Address:
Tel No:
Email:
Mobile Tel No:
Local Authority:
Would you be happy to be contacted for feedback about the Early Years
Teacher Status?
Yes
No
Yes
No
Canterbury Christ Church University are working with local authorities to
help support individuals once they have achieved Early Years Teacher Status.
To help your local authority deliver this support, we would like to share your
contact details with them, but will only do so with your express permission.
There is no obligation on you to allow them to share your personal information
with any local authority.
Do you give permission to share your contact details with your local authority?
Equal Opportunities
Gender:
Male
Female
Ethnicity:
(See notes at back of
application form)
If you are employed or work voluntarily in an Early Years setting or school, please complete below:
School/Setting
Name:
Position :
Hours Contracted
to work:
2
School/Setting or
Employer’s
Address
Setting
Tel
No:
Post Code:
Line Manager/:
E-mail:
Does your school or setting already have any staff
qualified with Early Years Professional Status (EYPS) or
Early Years Teacher Status working there or working
towards EYPS/Early Year Teacher Status?
Day care
Y/N If yes, how many?
Names:
Child minder Network
Type of Setting:
Children’s Centre
Sessional
Maintained
School
Academy
Free school
If you work in a
school please specify
Organisation Sector:
Private
Voluntary
Children’s Centre
Maintained
3
Independent
Child minder
FEE STATUS QUESTIONS
We need information from you to determine your fee status. If this section of the form is not complete the university will
presume that for fee-purposes you are an overseas fee-payer.
Are you a UK National?
Are you an:
Yes/No
EEA National
Swiss National
Turkish worker in the UK
In which countries have you been resident for the last three years?
Country
1
2
3
4
Main purpose of your residence
1
2
3
4
Applicants not born in the European Union, please state:
Date of first entry to the EU:
dd/mm/yyyy
Date of most recent entry to the EU
dd/mm/yyyy
If you are not a UK National, or EEA/Swiss National please state:
Country of birth:
Nationality:
Country of residence:
Address:
Do you require a student visa?
Do you require a student visitor visa (for
students studying 6 months or less)
YES/NO/DON’T KNOW
YES/NO/ DON’T KNOW
If you are not a UK/EEA citizen and do not require a student visa, what is your UK immigration status?
Indefinite Leave to enter/remain
YES/NO
Discretionary Leave to remain
YES/NO
Refugee status granted
YES/NO
Spouse of student visa holder
YES/NO
Dependent of student visa holder
YES/NO
Work Permit
YES/NO
Other (please state):
Start and end dates of current leave (UK
Immigration Permission) if applicable
Start Date
dd/mm/yyyy
End Date
dd/mm/yyyy
If you are not a UK or EU national you must provide evidence of your status in the UK by enclosing a copy
of your visa/work permit or Home Office letter with this application form
4
SECTION TWO
ACADEMIC QUALIFICATIONS
Entry criteria include GCSE English Language, Maths and Science grade C or above or equivalent. Please give details of
your GCSE or equivalent qualifications or indicate if you require equivalency test:
Subject
Examining board
Date taken/to be taken
Level
Grade
Month
Year
English Language
Mathematics
Science
Entry criteria include a qualification equivalent to an honours degree. Please give details of your degree or equivalent
qualification:
Title of Course
Name of Institution
Degree
Entry date
Completion date
classification
Month
Year
Month
Year
To ascertain whether your previous studies are appropriate for the course it is required that you provide a detailed
breakdown of the specific subject content of your qualification
Main subject(s) studied
Other Subjects studied
Other qualifications including Continuing Professional Development or in service training relevant to Education
Title of Course
Name of Awarding Body
Entry date
Completion date
Month Year
Month Year
SECTION THREE
EMPLOYMENT HISTORY
5
Entry criteria include work experience in a relevant setting prior to the start of the programme. This can be paid
or voluntary. Please ensure that this information is clearly shown in the table below and that your present
employer is listed at the top of the table.
Name of Employer
Date From/To
Duties and Responsibilities
SECTION FOUR
Describe below your reasons for wanting to become an Early Years Teacher (0-5 years) and the relevance of your
education and experience to the course. Include details of any experience of working with children (0-5 years),
visits to schools and other work with children. You may use an additional sheet if necessary.
6
7
SECTION FIVE
Employer Learning Support Agreement
As part of the employer incentive, for the duration of the programme:
He/she will be employed for a minimum of ten hours each week in the school/setting
Name and Address of School/Early Years Setting
………………….…………………………………………………………………………………………….……
……………………………………………………………………………………………………………………
…………………………………………………………….
Telephone Number of School/Early Years Setting
…..…………………………………………………..………………………………………….
I agree to support the above named applicant on his/her application for a place on the Early Years Initial
Teacher Training (Early Years ITT), Post Graduate Certificate: Early Years Education in Practice.
This support includes:

An endorsement of the candidate’s suitability for the programme and teaching in general;

Facilitation of release for weekly University-based teaching sessions (Postgraduate Teaching Sessions
and Early Years ITT training days held at the University)

Facilitation of work- related tasks required as part of the taught programme

Facilitation of up to 120 days of full-time school/early years -based experience, this experience will
takes place in the employees own setting, however at least 10 -20 days of this will be in another setting
for example, two weeks in an Ofsted rated Good – Outstanding School (National Curriculum key stage
one and two) or, an Ofsted rated Good – Outstanding Early Years (EYFS) setting to gain experience
across the 0-5 years age range.
An agreement to pay in full student fees of £9,000. As the employer, you will receive an Employers Incentive
to cover these and other additional costs. Further details regarding this will be available by emailing
EYITT@canterury.ac.uk
Signed ______________________________
Date ____________________________
Position within School/Early Years Setting ______________________________
SECTION SIX
8
1.
Please indicate below where you first found out about this course:
___________________________________________________________________________________________
2.
Please state below if you have any disabilities or special needs:
(see note 2 at the back of this form)
___________________________________________________________________________________________
___________________________________________________________________________________________
Have you made an application for a Disabled Student's Allowance (DSA)?
YES  NO  If the answer is YES then please give details below:
___________________________________________________________________________________________
___________________________________________________________________________________________
Are you intending to make an application for a Disabled Student's Allowance (DSA)?
YES  NO  If the answer is YES then please give details below or on a separate sheet:
___________________________________________________________________________________________
___________________________________________________________________________________________
SECTION SEVEN
RIGHT TO WORK
I confirm I have the right to study and work in the UK for at least the duration of the programme.
SIGNATURE:
DATE:
9
SECTION EIGHT
Declaration to be signed by the applicant:
DATA PROTECTION ACT 1998: The information that you have supplied will be processed and held on computer. The
data may be processed for the purpose of compiling statistics, and passed to the Higher Education Statistical Agency. By
signing and returning this application form you will be deemed to be giving your consent to the processing of data
contained on it.
I consent to the processing of the data contained in my computer record. I hereby grant Canterbury Christ Church
University authority to release information relating to my academic status to my funding body (if applicable).
I undertake, if admitted to the University, to abide by the regulations of Canterbury Christ Church University and of the
validating body granting the award.
Signature: __________________________________________________________
Note 1
ETHNICITY
11 White – British
12 White – Irish
19 Other White Background
21 Black Caribbean
22 Black African
29 Black Other
Note 2
31 Indian
32 Pakistani
33 Bangladesh
34 Chinese
39 Asian Other
DISABILITY
00 No disability
01 Dyslexia
02 Blind/Partially sighted
03 Deaf/Hearing impediment
04 Wheelchair user/Mobility difficulties
05 Personal Care Support
06 Mental health difficulties
07 Unseen disability (e.g. Asthma, Diabetes, Epilepsy,)
08 Multiple disabilities
09 Other disabilities not specified
Please return this form either by email or post to:
Admissions
Date: __________________________ ___
admissions@canterbury.ac.uk
Canterbury Christ Church University
Admissions
North Holmes Road
Canterbury
Kent
CT1 1QU
10
41 White & Black Caribbean
42 White & Black African
43 White & Asian
49 Other mixed background
80 Other
98 Information Refused