School Booking Form
extended
Yes
School Name:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Lead Teachers (we require 2 named teachers to support the Big Ideas Day)
Teacher 1
1
First Name
Last Name
2
email address
3
Phone Number
Format: 0000 000 0000.
Can attend S4TP Teacher & Mentor Training day
Please Select
Yes
No
Teacher 2
4
First Name
Last Name
5
email address
6
Phone Number
Format: 0000 000 0000.
Can attend S4TP Teacher & Mentor Training day
Please Select
Yes
No
S4TP Big Ideas Day
When – which date/s would you like the Big Ideas Day/s in your school:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Who - Approximate number of students (max 150 per day):
What year group:
Any other information about the specific students e.g. SEN, ESL, friendship or pre-determined groups, group size (4/5/6)
what room will used for the Big Ideas Day/s? Can you see it? Confirm set up will happen before 8am on the day. Any notes:
Facilities (please circle as confirmed):
Laptop
Projector
Speakers
Microphone
Wired/ Fixed
Wifi
Flip chart Paper
Marker Pen
Technician
can you provide lunch for S4TP staff and mentors?
Please Select
Yes
No
Where will lunch be?
is parking available?
Please Select
Yes
No
Can you provide details?
Structure
details of the school day: lesson times, break and lunch times.It is important we know exactly what contact time we will have with the students so we can plan the day accordingly. Please make a note in your return email if we won’t have access to students at all points throughout the day.
Start of lessons/Big Ideas Day:
Hour Minutes
Morning break (start):
Hour Minutes
Morning break (end):
Hour Minutes
Lunch (start):
Hour Minutes
Lunch (end):
Hour Minutes
Afternoon break (start):
Hour Minutes
Afternoon break (end):
Hour Minutes
End of lessons/Big Ideas Day:
Hour Minutes
How do you plan to deliver the programme after the Big Ideas Day? Please describe:(in curriculum/lesson; after school/lunchtime club; other)
Staffing arrangements
How many teachers will be in attendance throughout day?
Will they be changing with lessons?
Please Select
Yes
No
Will SLT be popping in at any stage?
Please Select
Yes
No
How do you plan to deliver the programme after the Big Ideas Day? Please describe:
Please Select
in curriculum/lesson
after school/lunchtime club
drop-down day
other
Development session dates: Minimum of 8 sessions required.
Plans if shortlisted: (in curriculum/after school; dates; CREST certificate presentation plans; debrief date)
Submit
Should be Empty: