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Assessment for Teaching & Learning, Post Primary - Application Form
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SPECIAL EDUCATION SUPPORT SERVICE (SESS) CONTINUING PROFESSIONAL DEVELOPMENT
Venue and Date of Course applied for
*
Use the down arrow to select
Choose
Teacher Name
*
Your answer
Teacher Payroll No.
*
Your answer
Teaching Council No.
*
Your answer
Mobile No.
*
Your answer
E-mail Address to which confirmation will be sent
*
Your answer
Type of School
*
Primary
Primary DEIS Urban Band 1
Primary DEIS Urban Band 2
Primary DEIS Rural
Post Primary
Post Primary DEIS
Post Primary Rural
Special School
School Name
*
Your answer
County
*
Choose
Antrim
Armagh
Carlow
Cavan
Clare
Cork
Derry
Donegal
Down
Dublin
Fermanagh
Galway
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Tyrone
Waterford
Westmeath
Wexford
Wicklow
School Roll Number
*
Your answer
Indicate the Role(s) you have in the School
*
Principal/Deputy Principal
Resource Teacher
Learning Support Teacher
Class Teacher
Special Class Teacher
SEN Co-ordinator
Required
Please Note
• Return of this application form does not guarantee a place on this course
• Applicants who are allocated a place will receive confirmation by the email address provided
• All requested details must be provided for the application to be processed.
Please contact the SESS office if you have any special accessibility or other requirements for the course
Please tick here to confirm that you have permission from your Principal to attend this course
*
Yes
Contact Information:
Special Education Support Service, Cork Education Support Centre,
The Rectory, Western Road, Cork.
Tel: 021 4254241
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