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* 1. School Name:

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* 2. Borough:

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* 4. Name of Head Teacher:

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* 5. Your Name: (if different from above)

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* 6. Your Job Title: (if different from above)

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* 7. Your Email Address:

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* 8. School Address:

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* 9. School Telephone Number:

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* 10. School Office Email Address

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* 11. School Website:

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* 12. No. of Pupils on Roll

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* 13. Gender of Pupils: 

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* 14. No. of Classes

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* 15. No. of Teachers

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* 16. No. of Support Staff

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* 17. Please indicate how many staff in total work at the school: (include SMT, other Staff)

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* 18. If you decide to go ahead with MindUP, when would you like to begin your training? 

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* 19. How did you hear about MindUP?

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* 20. Date:

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Thank you for submitting an enquiry, a cost proposal will be sent to you within 7 days.

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