Application Form for The TPD Introductory Module

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All fields mark with * are required.

First name *

Other names *

Email *

Phone no.: *

Postal Address *

TSC Number *

Date of Birth *

YYYY

Gender *

Female

Male

Other

Name of School/ Work Station *

Type of School *

Public

Private

Indicate the teacher category you belong to *

Primary School Teacher

Secondary School Teacher

Tertiary Institutions

Teacher *

Name of County where your school is situated
*

Name of Sub County where your school is situated *

Name of Sub county where you prefer to take the TPD courses over the school holidays *

Length of service in the teaching profession *

Less than 5 years

5-9 years

10-14 years

15-19 years

More than 20 years

What position of leadership do you hold in your school? *

Primary School Principal

Secondary School Principal

Primary School Deputy Principal

Secondary School Deputy Principal

Principal of Tertiary Institution

Deputy Principal of Tertiary Institution

Head of Department

Head of Subject

Class Teacher

Teacher

Other:

If Question above is "Other" kindly specify the position of leadership you hold

Thank you for choosing to register for the Teacher Professional Development Programme at Kenyatta University

You can use the Pay Bill Mode of Payment (KU TPD) : Business Number: 960509 Account Number ( Indicate Your TSC Number)

You can also pay via : Equity Bank Limited A/C No. 0180290518859 . Cooperative Bank of Kenya A/C 01129062461400. Family Bank A/C No.045000023316. National Bank of Kenya A/C No 01003059150801

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