KENYATTA UNIVERSITY TEACHING PRACTICUM AND MENTORSHIP CENTRE TP REGISTRATION FORM FORM NO:……… 1. 2. 4 5 6. 7. Surname --------------------------------Other Names ----------------------------------------------------------------------Reg. No. -------------------------------------3. Helb Serial No. -------------------------------------------Subjects (i) ----------------------------------(ii)--------------------------------------(iii)------------------------------------Mobile Nos. (i)------------------------------------------------- (ii) -------------------------------------------------------National ID No.-----------------------------------------County.---------------------------------Tick (√) whether you are 3rd year 4th year , Diploma or Certificate 8. I have completed/not completed ECT 202 f 300 , ECT and fSubject Methods r r r o o (√) against it in the list below. 9. Area Preferred: Choose only ONE COUNTY/ZONE by placing a tick o m m m ZONE √ ZONE √ ZONE √ t t 1 Nairobi Central Zone A 11 Makueni 21 Bungoma/Busia t h h h 2 Nairobi Central Zone B 12 Kitui/ Mwingi e e 22 Migori/Homabay A e 3 Nairobi East Zone A 13 Murang’a/ Nyeri 23 Migori/Homabay B d d 24 Kisii 4 Nairobi East Zone B 14 Meru A/Chuka/Chogoria/Tharaka d o o /Nkubu o c c 25 Nyamira 5 Nairobi East Zone C 15 Meru B/Isiolo/Laikipia c u u 6 Narok/ Kajiado/Loitoktok 16 Embu/Kirinyaga 26 Kericho/Bomet u m m 7 Kiambu Zone 17 Nakuru/Nyandarua e m e 27 Kisumu/Siaya e 8 Thika Zone A 18 Uasin Gishu (Eldoret/Kapsabet) n n 28 Kilifi/Kwale/T.Taveta n t t 9 Thika Zone B 19 Trans Nzoia/West Pokot/Turkana 29 Mombasa/Lamu /T.River t 10 Machakos 20 Kakamega/Vihiga 30 Garissa/Marsabit/Mandera o o o r r 10. Choices of Sub-zones must be within ONE zone r t t Choice of Sub-zone Name of Sub-zone t h h h 1st Choice e e e 2nd Choice s s 3rd Choice s u u Note: u m are requiredmto be in their posted schools all school days 1. TP is a full-time(3 Months) activity and student-teachers m m from beginning to end. TP should therefore not be mtaken with other units since absenteeism from the school m a a without a valid cause is a serious offence. a r r 2. Any student who wishes to withdraw because of sickness, course re-arrangement etc. should do so before posting r y y names to schools. y 3. Female students who are pregnant are advised to consult a doctor before deciding to go for TP - a doctor’s note o o will be required by TP Centre. o f f 4. You are advised to check with the TP Centre for the recommended f and approved schools. 5. Attach a photocopy of your University ID on this Form. (When handing in) Before applying you should have a a completed COMTECH UNITS (ECT 202, ECT 300n and Instructional a n Methods of the two teaching subjects. (Attach Transcripts). n 6. Students are NOT allowed to post themselves for Teaching Practice. Posting is the prerequisite of the i i i University/TP Office. n n n Declaration t t I am aware my Teaching Practice grades will not be honoured ore submittedt to theeSenate if found I was not truthful in giving the above information. e r r Student’s signature: ----------------------------------------------------e Date:--------------------------------------------------r e e s s s
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