Introduction
This application form should be completed in conjunction with the programme publicity which also includes details about eligibility and selection criteria.  It is essential that your application is endorsed and fully supported by your principal.

General Data Protection Regulation
Your data collected in this application will be deleted within 6 weeks of the end of the final module. This includes any information stored on servers, mobile devices or other storage media including CDs or DVDs, other removable media, hard copy [paper] or hard drive.

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* 1. Name

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* 2. Job title

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* 3. Organisation

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* 4. Telephone number

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* 5. Email address

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* 6. Please describe how the programme will support your personal career development? (maximum 500 words)

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* 7. The training will be delivered in English. Please tick the box if you would like simultaneous translation to be provided during the modules.
Note: Module booklets containing the slides will be available in both Welsh and English

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* 8. Principal’s supporting statement. Principals should ensure their statement :
Supports the application and attendance at all of the residential modules.
Confirms their commitment to:
- completing the 360 degree appraisal
- meeting with the participant during the programme to review impact
- ensuring the participant has opportunities to put into practice what they have learned and to share the learning within the institution.
Describes how the applicant is of the appropriate calibre.
Describes why the individual will benefit from the programme.
Describe what you envisage the organisational benefits to be from this applicant being successful.
Provide detail on how you  will engage with, support and monitor the applicant throughout the duration of the programme.
(maximum 500 words)

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