Educators Post Secondary Registration

NAME AND SURNAME*

I.D. NO:*

DATE OF BIRTH:*

DD

MM

YYYY

PERSONAL ADDRESS:*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

EMAIL ADDRESS:*

MOBILE NUMBER:*

NAME OF POST SECONDARY SCHOOL WHERE YOU TEACH:*

LIST THE SUBJECT/S YOU TEACH:*

ARE YOU A GUIDANCE TEACHER?*

YES
NO

AGE GROUP*

GENDER (As per ID card)*

Male
Female

RESIDENCE (As per ID card)*

Malta
Gozo

NATIONALITY*

YES
NO

Are you a migrant, a person with a foreign background or minorities (including marginalised communities such as the Roma)?

EMPLOYMENT STATUS*

Employed
Self-Employed

Employed [Persons should be working on a part-time or full-time, or on reduced hours. Persons in “subsidised” employment should also be considered as employed. Persons currently on maternity leave should also be considered as employed.]

EDUCATIONAL BACKGROUND*

Are you a disabled person?*

YES
NO

Are you enlisted in one of the following*?*

YES
NO

* A registries: (i) Commission for the Rights of Persons with a Disability; (ii) social security for the participants benefiting from disability benefits; (iii) Jobs Plus?

If you marked yes in the previous question, please write your registration number and entity with which you are registered:

Do you have any other disadvantages?*

YES
NO

Tick yes if one or more apply: (i) ISCED level 0; (ii) homeless or effected by housing exclusion); (iii) inmates or former offender; (iv) former substance abusers or undergoing detoxification treatment; (v) at risk of poverty.

Do you live in a single adult household with dependent children?*

YES
NO

Are you living in the following circumstances: rooflessness, houselessness, insecure accommodation, and/or inadequate housing?*

YES
NO

Download the Terms and Conditions using the link below, print, sign, scan or take a photo and upload*

Download T&C

Mark the training group you wish to join*

Giovanni Curmi Educators Group 1 (27th, 28th February, 25th, 26th March 2019)
Giovanni Curmi Educators Group 2 (1st, 6th, 12th and 13th March 2019)
MCAST Educators Group 1 [FULLY BOOKED] (5,8,12,14 March 2019)
MCAST Educators Group 2 (20, 21,26,28 March 2019)
6th Form Educators Group 1 (4,6,11,13 March 2019)
6th Form Educators Group 2 (18,20,25,27 March 2019)

The courses are organised in groups of 15 to 20 participants. The calendar displays the group number. Mark which group you prefer to join according to your preferred dates.