Important:  please enclose a C.V. giving details of your education, training & occupational experience.

Please state briefly the background to your interest in specific learning difficulties, why you wish to take the course and what you would hope to gain from it.  Use additional sheets of paper if needed but please attach securely.

How did you hear about the Helen Arkell Dyslexia Centre courses?

Do you wish to claim credit for previous courses taken?  If so, please list below any training or courses completed at HADC or other centres:

Please give details of who to contact with regard to your fees, including name and job title, as well as the address and telephone number of your school.

In order to ensure equal opportunities please give details of your ethnic origin by indicating the relevant number in the box below.

Ethnicity:

01=White British, 02=White Irish, 03=Any Other White Background, 04=Mixed White and Black Caribbean, 05=Mixed White and Black African, 06=Mixed White and Asian,07=Any Other Mixed Background, 08=Indian, 09=Pakistani, 10=Bangladeshi, 11=Any Other Asian Background,

12= Caribbean, 13=African, 14=Any Other Black Background, 15=Chinese, 16=Any Other Ethnic Group, 99=Not Stated

Employment code:

RE=Registered unemployed, UN=Unwaged(not seeking work), PT=Employed part-time(inc.self-employed), FT=Employed full-time (including self-employed), FS=Fulltime student, NS=Not specified

Ability code:

OO=Able bodied, 01=Non-registered disabled, 02=Registered Disabled, 03=Learning Support Required, NS=Not specified

NOCN Teaching Assistants Course Application Form

Please return this form to:

Courses Manager, The Helen Arkell Dyslexia Centre, Frensham, Farnham, Surrey, GU10 3BW

Accompanied by:

·        a letter of support from your Headteacher if you are applying for Certificate level and you are not a qualified teacher or if you are applying for a bursary.  The letter should indicate the type of work and responsibility you are undertaking.

·        brief letters from two referees, one professional, if appropriate and one character reference (your Headteacher’s letter can be used.)

·        Police Check: As a student on our courses we have to satisfy ourselves you have the appropriate police clearance. The Centre’s policy requires a full Enhanced Disclosure CRB check, no more than 3 years old. If this can be provided by your school, a letter confirming the date and type of check will be sufficient although we prefer to take a copy of the original document. If not, you will need to apply for a CRB Disclosure through the Centre, which is available at a cost of £61.50 (payable to The Helen Arkell Dyslexia Centre) but you will receive a copy of your police disclosure statement which you may use for other purposes.

·         A cheque for your deposit for the sum of £100. (Deposit becomes non-refundable once you have been offered a place on a course.)

·         Your CV giving details of your education, training & occupational experience

·         A small passport size photograph of yourself

All of the above are essential for your application to be processed and your place to be reserved.

Please do not send your form back before they are all complete.

To contact the Courses Manager, please:

§         ring:             01252 792400

§         email:           courses@arkellcentre.org.uk

§         fax:              01252 795669

Frensham, Farnham, Surrey, GU10 3BW

enquiries@arkellcentre.org.uk      tel: 01252 792400          www.arkellcentre.org.uk

A Company limited by guarantee    Registered in England No. 3432423  

 Registered Charity No. 1064646

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