CSESP: PGCE Secondary Placement Information Form 2019-2020

Student Placement Information Form for PGCE Secondary Programmes

PGCE Secondary Placement Information Form

PERSONAL DETAILS

Any personal information provided will be respected according to the Data Protection Act 2018.

Term Time Address (from September 2019):

Please ensure to include postcode

Permanent Address:

ADDITIONAL DETAILS

Please ensure to include postcode

WELSH PROFICIENCY

To be completed by ALL English Medium Students
To be completed by ALL English Medium Students
If you have completed a Welsh for Adults Course, please tell us at which level in the text box below

PLACEMENT DETAILS

You are only required to complete this if you are a fluent Welsh speaker

Any additional information:

(ie Do you have any relatives/close relationships in a particular school or any special circumstances which may affect your school experience ie medical problems, family commitments etc)

PERMISSIONS

Please tick any or all of the statements below that apply
If at any time I wish to withdraw permission for any of the above, I will inform my tutor AND the Placements Office.

DECLARATION

I understand that I might be required to travel up to one and a half hours each way to and from my school placement. If I do not have a car, I understand that I will need to organise and pay for public transport.