School Enquiry Form (2019)

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* 1. School Name:

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* 2. Borough:

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* 3. School Type:

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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:

Male

Female

Mixed

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* 14. No. of Classes

Nursery

Reception

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

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* 15. No. of Teachers

Nursery

Reception

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

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* 16. No. of Support Staff

Nursery

Reception

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

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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?

Autumn 1

Autumn 2

Spring 1

Spring 2

Summer 1

Summer 2

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* 19. How did you hear about MindUP?

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* 20. Date:

Date

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