National Professional Qualification for MIDDLE LEADERSHIP (NPQML)

National Professional Qualification for MIDDLE LEADERSHIP (NPQML)

APPLICATION FORM 2017/18 (Cohort 1A)

Please Complete All Sections

SECTION 1: PERSONAL INFORMATION
Name:
Please include any previous name(s)
Home Address:
Telephone Number (mobile preferable):
Date of Birth:
Preferred Email Address:
NB: Please supply the email address you use on a regular basis as this will be used as the main conduit of communication throughout the course
Current Role in School:
Teacher Unique Reference Number:
The 7 digit number provided when you were awarded QTS. This is essential to register you for the course.
Gender:
Ethnicity: / White BritishWhite Irish
White OtherMixed White & Black Caribbean
Mixed White & Black African Mixed White & Asian
Mixed Other Mixed Asian or Asian British – Indian
Asian or Asian British – Pakistani Asian or Asian British – Bangladeshi
Asian or Asian British – Other Asian Black or Black British – Caribbean
Black or Black British – African Black or Black British – Other Black
ChineseOther – Any Other
I Prefer Not to Say
Any Disability: / Yes / No / Prefer not to say
SECTION 2: SCHOOL INFORMATION
School Name & Address:
School Government Region:
Local Authority:
School Phase and Type:
School URN (as stated on Edubase):
School Current Ofsted Rating:
Are 30% or more of pupils on role eligible for FSM?(Based on October 2016 Census) / Yes / No
Please state the percentage figure:
SECTION 3: SPONSOR DETAILS
What is a sponsor and why do I need one?
The task and evidence you submit for final assessment will need to be verified by a ‘sponsor’ in your school.The sponsor is also required to provide further testimony of how you have demonstrated evidence of competence as a middle leader in undertaking the task. Your sponsor should be a senior leader (your line manager or a leader of equivalent seniority) who is in a position to know the work you have done well, has a good knowledge of how you lead your team and who is able to assess your achievements and the impact of your leadership.
The additional evidence provided by your sponsor will be assessed alongside your submission. It is therefore important that you ensure your sponsor carefully reads the guidance provided and you discuss your task and your submission with your sponsor. Where your sponsor is not the Headteacher of your school, the Headteacher will need to agree to the sponsor and will also need to sign the form to validate the evidence.
Sponsor’s Name:
Sponsor’s Role in School:
Sponsor’s Email Address:
SECTION 4: PROGRAMME COSTS AND HEADTEACHER’S CONSENT
The total cost of the NPQML course with Learners First is £910.00(this includes the cost of the programmeand assessment.
NB: NCTL Scholarships are no longer available towards the cost of the programme.
Please confirm who will fund your NPQML course fees:
Self  SchoolLearners First Subscription 
**YOUR HEADTEACHER MUST GIVE THEIR CONSENT TO YOUR APPLICATION AND ATTENDANCE ON THIS PROGRAMME**
I hereby confirm that the above named has my support in applying for this programme
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Signed by Headteacher Date
SECTION 5: PERSONAL STATEMENT
NPQML is aimed at those who are, or are aspiring to become, a Middle Leader with responsibility for leading a team e.g. a key stage leader, a curriculum area leader, a pastoral services leader, a subject leader, a special educational needs coordinator (SENCO), or a head of department. This includes those who are, or are aspiring to be, a Middle leader with cross-school responsibilities e.g. a Specialist Leader of Education (SLE).
Personal Statement:
Please provide a brief statement outlining what you aim to achieve from the NPQML programme.
(Please complete in no more than 200 words)
Any other supporting information or specific requests:

The deadline for applications is 3.00pm on Thursday 14th September 2017

In the event that the programme is oversubscribed, applications will be prioritised on a first-come first-served basis so early application is advised. All applicants will receive acknowledgement of their application within 5 working days of our receipt and confirmation of their place by 12 noon on Tuesday 19th September 2017.

Liability for Fees

Once an applicant has been offered a place on the programme and has accepted that place then the applicant or the school is liable for the full fee for the NPQML programme. These are payable prior to commencing the induction session which starts the programme.

No refunds for deferrals or withdrawals will be made under any circumstances.

The £910 cost of the NPQML programmeincludes allprogrammefees and the cost of one assessment submission. Should a participant fail to adhere to the assessment requirements they may be liable for the cost of resubmission. Full details can be found at

Please return completed application forms to [email protected]