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* 1. Name

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* 2. Job title / Role

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* 3. School email address

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* 4. Name of school / organisation

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* 6. Name of your sponsor (SLT / Line Manager)

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* 7. Sponsor's email address

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* 8. Please tick to confirm the following:

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* 9. Please tick to confirm the following 

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* 10. Email address of finance contact

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* 11. Are you new to leadership?

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* 12. What are you hoping to achieve by the end of the programme?

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* 13. What practical support and next steps would you most benefit from during the programme?

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* 14. Are you looking to secure a new leadership role or promotion over the next 12-18 months?

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* 15. Do you require any reasonable adjustments to support you to access or engage with the programme?

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* 16. Do you have any dietary requirements

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* 17. Please tick all boxes to complete the application. I am committed to:

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* 18. I agree to my photograph being published on the Hope Sentamu Learning Trust York and/or school/academy website.

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