Initial Teacher Training Form ITT 02

Initial Teacher Education Suitability Declaration

This form should be completed to enable us to consider your suitability to be a provisionally registered teacher. Any false declaration will be considered and may lead to the removal of your eligibility to register.
Students coming for interview should hand the completed form in to the registration desk alongside copies of your qualifications.

Students who have been offered a place should upload the form to their Student Portal.
Please keep a copy of the completed form for your own records.

Title*
Surname*
Forename*
Date of Birth*
National Insurance No. *

* Mandatory

Please answer all questions

Please tick either the Yes or No box. For every Yes answer please complete the box overleaf with a detailed legible account of the circumstances that include the sanction, date, reason and full identification of the authority, police force or court concerned.

1. Have you ever been the subject of a bar, partial bar, warning or other action by the Secretary	YES	NO
2. Do you have any cautions, convictions, reprimands or final warnings which would not be filtered in line with current guidance? The DBS filtering guidance is available on the DBS website at www.gov.uk/government/publications/dbs-filtering-guidance	YES	NO
3. Have you ever been subject to any disciplinary sanction by any other professional or regulatory	YES	NO
4. Is there a current employment disciplinary finding against you and/or are you currently the subject	YES	NO
5. Is there any other information the University of Gloucestershire should know about which may have a bearing upon your suitability to register? (Note: as a registered teacher you will be responsible for upholding and promoting the standards of the profession as set out in the Code of Conduct and Practice for Registered Teachers. Relevant information would include any involvement in activities which could bring the reputation of the profession into disrepute).	YES	NO

Circumstances for Yes replies to questions 1 – 5 overleaf.

For each Yes answer please provide a detailed, legible account of the circumstances that includes the sanction, date, reason and full identification of the authority, police force or court concerned. If you need more space, please attach and sign an additional sheet.

Question 1

Question 2

Question 3

Question 4

Question 5

Declaration

I agree to provisional registration by the University of Gloucestershire on commencement of my course of initial teacher training.
I declare that

All of the information I have provided on this form is complete and correct to the best of my knowledge and belief.
I understand that the University of Gloucestershire can refuse to register me if I have given false information or have withheld relevant details.
I understand that the University of Gloucestershire may contact me about the information in my application and seek further information from any relevant authority, police force or court.
I understand that allegations of misconduct against me that could call into question my registration will be investigated.
I agree to tell the University of Gloucestershire as soon as reasonably practical about any changes to my personal details.
I understand that if I fail to tell the University of Gloucestershire about any changes to the information in my application,
University of Gloucestershire may consider this to be misconduct.
I understand that, as a registered teacher, I am required to comply with the Code of Conduct and Practice for Registered Teachers.
I understand that, as a registered teacher, I will be responsible for upholding and promoting the high standards of the teaching profession.

Name:
Signature:

Date:

Please upload this completed form to your online Student Portal

Subject Areas

Helpful Links

Subject Areas

Helpful Links

Admissions and Enrolment

Initial Teacher Education Suitability Declaration

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