Register

REGISTRATION FORM		APPLICATION NO.
Please notice, if you are mailing a CV to us you don't need to duplicate information required on the form.

Personal details

Title

Forenames*

Surname*

Previous names

Nationality

National Insurance Number*

D.O.B.

Contact details

Address*

Postcode*

Telephone Home*

Mobile

Email*

Qualifications

Degree

Teaching qualifications

Date qualified

DCFS registration no. (if available)

Mebmer of GTC

Referees (please give names and contact details of at least two referees)
1.	2.




tel.	tel.

There are no current or forthcoming Child Protection issues that prevent me from working with children. If yes please give details:

There are no current or forthcoming disciplinary matters that you should be aware of.
If yes please give details...

In order to facilitate the registration process please ensure that you can produce the following original documentation;

• Two proofs of address (eg bank statement / utility bill / driver's license)

• Proof of teaching qualifications

• CV (if applicable)

• 2 passport sized photographs

• Current CRB check if applicable. If a new CRB check is required then the fee of £36 will be paid initially by Bourne Teachers upon receipt of your registration forms and on the understanding that you are employed by Bourne Teachers for a minimum of 3 months.

Please return completed forms and documentation to:

Bourne Teachers Ltd.,

Bourne House,

268 Castle Lane West,

Bournemouth,

Dorset BH8 9TU

Contact Glyn Bawden / Sally Jenkins on 01202-517857

Glyn mobile: 07918714037

Sally mobile: 07918714039