Into Headship Programme Application Form Please tell us how you heard about this programme: Personal details Last Name: First Name: Address: Postcode: Home Telephone No. Daytime Contact No. E-mail address: GTCS Reg. No. Current and previous school details Please provide details of your employment history over the last 5 years. Current post Name of Employer: Address: Postcode: Current Post: School Head teacher: Number of pupils: Telephone: Type of School: Brief description of your main areas of remit (max 250 words): Previous Employer Name of Employer: Address: Postcode: Position Held: Date Started: Leaving Date: Reason for leaving: Brief description of your main areas of remit (max. 250 words): Previous employer Name of Employer: Address: Postcode: Position Held: Date Started: Leaving Date: Reason for Leaving: Brief description of your main areas of remit (max. 250 words): Post-School Qualifications Date Awarding Body Details of Qualifications (including reference to any leadership and/or other relevant qualifications) Professional Learning Please use the space below to demonstrate your engagement and commitment to professional learning in relevant areas including leadership and management and provide evidence of resultant impact/change (max. 500 words). Leadership Experience Please use the space below to demonstrate and evidence your leadership experience at a variety of levels including specifically your practice at a senior level, main achievements and your ability to influence practice across the school community (max. 500 words). Critical Reflection Please use this section to provide a critical reflection of your personal leadership experience based on the GTC Scotland Standards for Leadership and Management and provide specific examples related to the professional actions. You should include evidence of your understanding of your individual leadership practice and style, awareness and critical reflection on the impact of your leadership actions and examples of where your leadership practice has changed/improved (max 500 words). Headship Readiness This programme is designed for those who whose next post will be a head teacher within 2/3 years. Please identify your specific experience evidencing readiness/potential for headship within 2/3 years drawing on recent examples of senior leadership practice where applicable (max. 500 words). Arrangements for Interview Do you need us to make any adaptations for your interview to accommodate a disability? If so, please tell us what these should be. Declaration Statement to be Signed by the Applicant Please complete the following declaration and sign it in the appropriate place below. I confirm that all the information given by me on this form is correct and accurate. Signed: Date: Endorsement by Head Teacher/Head of Establishment: Signed: Date: Endorsement by Employer: Signed: Date:
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