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Post applied for - Assessment Only Route
Candidate Name
*
How long and in what capacity have your known the candidate?
*
Dates of employment
*
Please confirm the candidate's job title and responsibilities (especially any teaching)
*
Please provide details of any disciplinary proceedings taken against this individual. Please give dates, the nature of any misconduct, and the outcome of the process.
*
Please provide any information relating, however indirectly, to child protection and safeguarding concerns.
*
Please indicate how you would rate the applicant on the following. Please note that candidates’ subject knowledge (in their chosen subject for Secondary and in Core NC subjects for primary) and aptitude for teaching must be rated at least Good to be accepted onto the AO route.
Quality of subject knowledge
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Excellent
Good
Satisfactory
Poor
Aptitude for teaching
*
Excellent
Good
Satisfactory
Poor
Behaviour management
*
Excellent
Good
Satisfactory
Poor
Fundamental literacy skills (including written and spoken Standard English)
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Excellent
Good
Satisfactory
Poor
Fundamental numeracy skills (i.e. able to perform the basic numeracy tasks needed as a teacher eg do calculations; work with pupil data)
*
Excellent
Good
Satisfactory
Poor
General professionalism
*
Excellent
Good
Satisfactory
Poor
Health and physical capacity to teach
*
Excellent
Good
Satisfactory
Poor
Any comments related to the questions above
I confirm that a satisfactory enhanced DBS check for this candidate has been obtained.
*
Yes
No
I confirm that the candidate is not subject to a prohibition order issued by the Secretary of State and/or is not prohibited to teach in another country of the European Economic Area (EEA)
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There is NO prohibition order and they have NO prohibitions
There IS a UK prohibition order and/or they ARE prohibited to teach in EEA
I confirm that any police checks abroad have been carried out and no issues have been raised as to the candidate’s suitability for working with children
*
Police checks have been carried out and no issues have been raised
Police checks have been carried out and an issue has been raised about suitability
N/A the cadidate has not lived or worked abroad
I confirm the candidate is suitable to work with children.
*
Yes
No
I confirm that appropriate safeguarding training has been given to the candidate
*
Yes
No
I confirm that the candidate has received training on The Prevent duty guidance
*
Yes
No
I confirm that the candidate has taught in at least two schools. (NB: This can include the current school)
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Yes
No but we are happy for them to do a placement to meet this criteria
I confirm that the candidate has taught in at least two Key Stages (whether at previous schools, this one or between them)
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Yes
No
I confirm that the candidate has sufficient subject and pedagogical experience in the age range they have applied for. (For specialist primary school teachers eg of Music/ PE/ JS, this includes them having taught some Core subjects prior to the AO if requested of them by the AO Programme Manager and meeting the teacher standards in those subjects)
*
Yes
No
AO is a short assessment process for candidates who are already meeting the standards (i.e. who don’t require the sort of training provided in a full one year teacher training course). I think that AO would be a good route for this candidate and anticipate being happy to support the candidate’s recommendation for QTS at the end of the process
*
Yes
No
As the employing school we have the capacity to support the candidate to obtain QTS, including providing an appropriate mentor (to carry out some internal and joint observations, and also to complete a mentor report at the end of the process)
*
Yes
No
Any additional comments relating to the Standards for QTS
Signed (type full name)
*
Position
*
Date
*
Contact number for any queries relating to this reference
*
Contact email address for any queries relating to this reference
*
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