2024-25 Children Challenging Industry (CCI) Booking Request Form: Humber region
Please ensure that you have read the 'Want To Know More about CCI' information by clicking the link and sharing this with the participating class teachers

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Adresse e-mail *
Your Name (person completing the form) *
Your Position in School (person completing the form) *
Name of School *
Number of participating classes (UKS2 only) maximum class size is 36 children *
Number of children in participating class(es) e.g. for two classes 30+30 *
Number of teaching staff at your school *
Year group(s) participating (UKS2 only) *
Number of children on school roll *
School Address *
Postcode *
Telephone Number *
School Twitter Handle *

Name(s) of Participating Class Teacher(s) if known

If your school has previously participated in the CCI programme, please consider a different class teacher to ensure the benefits of the classroom CPD

Email Address(es) of Participating Class Teacher(s)

Name of Science Leader *
Science Leader's Email Address *
Name of Headteacher *
Headteacher's Email Address *
Day of weekly staff meeting *
Please indicate your FIRST preference for when you would like the sessions to take place (places are allocated subject to availability)
 *
Preferred days (please tick all that apply) subject to availability *
Obligatoire
Please indicate your SECOND preference for when you would like the sessions to take place  (places are allocated subject to availability)                *
Preferred days (please tick all that apply) subject to availability *
Obligatoire
Please indicate your THIRD preference for when you would like the sessions to take place  (places are allocated subject to availability)                *
Preferred days (please tick all that apply) subject to availability *
Obligatoire
I can confirm that the Headteacher consents to the school paying £300 (per class) towards the cost of this programme *
Obligatoire
Name of person AND their email address to send invoices to after completion of the CCI programme *

I understand that if onsite visits are taking place, schools need to arrange and pay for their own transport.

 *
Obligatoire

I confirm that I have downloaded and read the 'Want To Know More about CCI' information and agree to share this with the participating class teachers

 *
Obligatoire
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