TEACHERS AT SECONDARY SCHOOLS – 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 SCHOOL WHERE YOU TEACH:*

If your school is participating in the project mark your school, if you are registering for one of the four open courses click on the option 'other'.

if you marked 'other' above, write the name of the school where you teach

LIST THE CLASSES YOU TEACH

LIST THE SUBJECT/S YOU TEACH:

ARE YOU A GUIDANCE TEACHER?*

YES
NO

ARE YOU A HEAD OR AN ASSISTANT HEAD OF SCHOOL?*

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

Mark your Training Group*

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. If you are a teacher at one of the secondary schools participating in the project just mark the name of your school.

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

Download T&C