PTLLS.co.uk

CTLLS / DTLLS Application Form

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Which qualification are you applying for?	CTLLS DTLLS CTLLS + TAQA DTLLS + TAQA
Specific Course Date Applying For (dd/mm/yy):
Date of Application (dd/mm/yy):
Name:
Title:
Age:
Date of Birth (dd/mm/yy):
Home Address (3 lines only):
Postcode:
Home telephone Number:
Work telephone Number:
Mobile telephone Number:
Email Address:
Gender:	Male Female
NI Number:
Nationality:
Date of Entry to the UK (dd/mm/yy):
Normal Country of Residence:
Have you been ordinarily resident in the UK for the last 3 years?	Yes No
Employer Name:
Type of Organisation:
Workplace contact name and telephone number for fees:(if applicable)
Who will be paying the fees?	Me (single payment) Me (three payments) My Employer
What teaching, tutoring or assessing qualifications do you have?
What subjects will you be teaching?
And what qualifications do you have in these subjects?
Do you have English, Maths and IT qualifications at Level 2?	Yes No
How long have you been teaching/training?
Current teaching role:	Associate Full Not Teaching
What subject areas do you teach/train in?
Where, geographically, does your teaching take palce?
In your current role do you…	Work with groups of learners Work with individual learners Assess learning and give feedback to learners Plan learning programmes Plan learning resources and materials Plan learning sessions Evaluate learning
Do you anticipate any particular challenges that we could help you with?
Please use this space to indicate any special learning requirements you may have.
Lunch and refreshments are provided; do you have any special dietary requirements?
Please complete a personal statement of 250 words to support your application. Explain who you are and what you want to gain from the course. To undertake this course you need to have subject specialist knowledge at level 3 or above and ICT, English and Numeracy skills equivalent to level 2. In your statement justify how you can demonstrate these skills. The statement must be well written and concise. This is part of our initial assessment process.

250 words remaining
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