cpdnominationform.htm


Please use this form to submit details of a CPD provider to the CLASS register. Only fields indicated by an asterisk * will be displayed in the public CPD register. Other information is for administrative purposes and will be accessible through the database only by authorised staff. (For a new submission all fields must be completed).

	Name of Applicant
	Name of School
	School Address
	Telephone Number
	Fax Number
	Support Managers email
	Support Aspect or Subject	Subject / aspect offered (up to five entries per teacher, e.g. a teacher might offer two subjects, or three aspects of leadership and management training)
	Types of support skills offered (Please specify as many as necessary)
	1:1 or Coaching for Teachers		Other: - Please specify any support skills not mentioned.
	Presenting Strategies
	Attendance on Interview Panel
	Model Lessons
	Support with Planning
	Current Post
	Time in Post
	Memberships	Please specify any relevant professional bodies or associations you are a member of.
	Pen Portrait	Please enter here your pen portrait (no more that 100 words that should help schools decide if the Teacher Consultant is appropriate for the supportthey are looking for, e.g. a description of current role, previous teaching experience or professional interests).
	Submitter's e-mail address
	Date of Submission