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* 1. When are you applying to start the programme?

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* 2. School Name

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* 3. School Address

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* 4. School Office Phone Number

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* 5. School Office Email Address

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* 6. Headteacher Full Name

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* 7. Headteacher Phone Number

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* 8. Headteacher Email Address

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* 9. Lead Contact Name

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* 10. Lead Contact Email Address

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* 11. Free School Meals %

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* 12. Pupil Premium %

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* 13. English as Additional Language %

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* 14. Special Educational Needs %

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* 15. Number of Pupils

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* 16. How many years of match-funding would you like to apply for?

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* 17. If your application is successful, how will you fund the school's annual payment of £7,500? (e.g. Pupil Premium, other grants - please specify)

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* 18. Tell us about your school's context and any challenges facing your local community

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* 19. How would the Artis programme support your school's improvement plan?

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* 20. What difference do you think Artis would make to your children's school experience, and are there any academic or pastoral areas you would like to focus on in particular?

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* 21. How would Artis's CPD sessions improve the professional development of your teachers?

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* 22. If successful, what day would be most convenient for your Artis provision? Please choose one day of the week.

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* 23. In the event that your preferred day is unavailable, please select other days that would work for your Artis provision.

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* 24. If successful, we ask schools not to use the programme for PPA cover as it is also intended to be a CPD opportunity for staff. 

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* 25. If successful, the match-funding programme should involve the same class groups for a full academic year (not rotating per term).

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* 26. If successful, do you agree to take part in the monitoring and evaluation of the programme (at the start and end of the year)?

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* 27. Declaration

To the best of my knowledge and belief all the information in this application form is true and correct.

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