application - dyslexia：应用障碍

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1、BritishDyslexiaAssociationApplicationforAMBDACANDIDATEFORMPLEASEENSURETHATYOUAREUSINGTHEMOSTUPTODATEAPPLICATIONFORM.FOROFFICEUSEONLYRegion:TutorholdsAMBDAY/NDataProtectionReceived:Accepted:SpecialistteacherslistY/NBDAY/NAcknowledged:Deferred:Agegroups:EEAY/NActions:Rejected:Primary

2、SecondaryDCSFNumber:Followup:FE/HEAdultsAllCompletedanaccreditedcourse:Y/NMeetingdate:Paymentreceived:Y/NTutorformSigned:Y/NPleaseindicatewhetheryouareapplyingfor:AMBDA¨AMBDAFE/HE¨AMBDAOverseas¨PersonalDetails(PleasecompleteinBLOCKCAPITALS)Surname:Title:Mr/Mrs/Miss/Other:Allpreviou

3、ssurnames:Qualifications(e.g.PGCE,BSc,RSADipSPLD,etc)Forename:TelephoneNo:CurrentAddress:MobileNo:Postcode:EmailAddress:BDAAccreditedCourseTitleofCourse:Institution:OCRCentre:Tutor(s):SupervisionandAssessmentTutor(s):StartDate:EndDate:©BDA.May2013Page5of5RegisteredCharityNo.289243C

4、ompanyLtd.No.1830587EducationandProfessionalQualificationsPleasegivedetailsofyourteachingqualificationnotyourspecialistqualificationonwhichthisapplicationisbased.TitleofProfessionalTeachingQualification:TeacherTrainingInstitution/University:StartDate:EndDate:DoyouholdQualifiedTeach

5、erStatus(QTS)*?YesNoDCSF(formerlyDfESorDfEE)ReferenceNumber(orequivalent):*PleasenoteyoudonotnecessarilyneedQTSifyouareapplyingforAMBDAFE/HE.AMBDAmayalsoawardedtothefollowingprovidedtheyhavecompletedaBDAaccreditedcourseandhaverelevantexperience.Pleasetickyourprofessionandstateyourq

6、ualification:Speech&LanguageTherapistEducationalPsychologistOccupationalTherapistOtherPsychologistQualification:TeachingExperiencePleaseensurethatyoucompletetheTeachingExperiencesectionandspecifythenumberofhoursyouworkeachweekifworkingpart-time.InadditionyoumayalsowishtosubmityourC

7、Vbutthismustclearlyshowtheinformationrequiredbelow.DatesSchoolandlocationSubject(s)taughtAgerangeNo.ingroupFulltimeParttimeHoursworkedperweek©BDA.May2013Page5of5RegisteredCharityNo.289243CompanyLtd.No.1830587DataProtectionAct1998Theinformationyouprovideonthisformwillbewillbeprocess

8、edbytheBDAandusedto:1proce