eligibility form
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Depending on the volume of responses we may not be able to acknowledge all expressions of interest personally. We will contact you by email if we would like to offer you a place on the project. Thank you for your time.


1. Your name:
First Name

Surname

2. School postcode: this is not used in any identification process, only for geographic spread of respondents.



3. Name of your school:



4. Contact details Please note: some project details may be sent by text message
Email address:


Mobile phone number:



5. Which one of these broadly describes the age range of the school / college that you teach in? If your school is independent please also tick the independent box
Infant
Junior
Primary
First
Middle
Other, please specify:

Not Applicable


Independent

6. At which key stage do you mainly teach?
Early Years / Nursery
Foundation / Reception
Key Stage 1 / P1 - P2
Key Stage 2 / P3 - P6
Key Stage 3 / P7 - S2
Not applicable

7. What is your main position within the school / college?
Classroom Teacher
History Co-ordinator
Humanities Co-ordinator
Other Subject Co-ordinator / Head
Head of Year / Key Stage
Headteacher
Deputy Head / Assistant Head / Senior Management Team

Other, please specify:

Please provide your CRB number, DfE teacher number or a contact number of the school in which you teach



This project is being run by a company other than Schoolzone. In order to participate we need to pass your contact details on to the third party.
Please tick here if you are happy for us to pass on your details for the purposes of this project only.

You can reset this page by clicking on the 'Reset' button [WARNING You will lose EVERYTHING that you have typed]

If you have any problems or queries concerning this survey please contact
Nick Baldwin at Schoolzone.co.uk Ltd on 01242 262 906 or by email at nick@schoolzone.co.uk

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