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NB: Please complete all sections of this application. This form has limited editing access and you will only be able to enter information in the fields provided. As a result, some formatting will also not be possible. Please adhere to the word counts, any text over these limits will not be visible on the form and will not be read.
LET TEACHERS SHINE APPLICATION FORM 2017PERSONAL DETAILS
First name and surname: Click or tap here to enter text.
Job title: Click or tap here to enter text.
Name of school: Click or tap here to enter text.
Address and postcode of school: Click or tap here to enter text.
Email address: Click or tap here to enter text.
Contact telephone number: Click or tap here to enter text.
YOUR PROJECT IDEAProject Name: Click or tap here to enter text.
Describe your project in one sentence: Click or tap here to enter text.
When will your project be held? (Tick all that apply)During the school day: ☐After school: ☐Weekends: ☐Holidays: ☐
WHO WILL IT HELP?Number of students directly involved in the project Click or tap here to enter text.
Age range Click or tap here to enter text.
Please select which of the following indicators of disadvantage you plan to use to identify the target students:Pupil Premium Eligible: ☐English as an Additional Language: ☐Special Educational Needs: ☐Other indicators of economic disadvantage: ☐If “Other indicators of economic disadvantage”, please give details in the box below:
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Please download this form, complete it in full, save it under your name and submit it through the SHINE application page: www.shinetrust.org.uk/what-we-do/teacher-led-innovation/apply
CLOSING DATE:
12pm, Monday 24th
April 2017
YOUR PROJECT IN FULLPlease describe your proposed project in the boxes below.
Project overview Include a brief overview of the project in a couple of sentences and what this grant will enable you achieve.
(Word limit: 70 words) Click or tap here to enter text.
Need or problemDescribe the need or problem you are seeking to address and any evidence of demand for the project you are proposing.
(Word limit: 240 words)Click or tap here to enter text.
Who will benefit?Who exactly will benefit as a result of the project being carried out? Please be clear about why the students you intend to target are disadvantaged and at risk of underachieving.
(Word limit: 150 words)Click or tap here to enter text.
Main ActivitiesDescribe the main activities (including location, timings, outline of curriculum content and methodology). Describe how the project will be managed and the key staff, other schools or partners involved in the project.
(Word limit: 650 words)Click or tap here to enter text.
Sustainability and scalabilityWe want to fund projects that have potential to be scaled up if successful. Do you have any initial thoughts on a) how you would sustain the project post-SHINE funding and b) your ambitions to grow the project in future years?
(Word limit: 180 words)Click or tap here to enter text.
WHAT WILL BE ACHIEVED?Please write up to 3 clearly defined, measurable targets for your project. Please use whichever measurement is appropriate in your setting (i.e.: levels, work descriptors etc.). At least one of these should relate to raising attainment in reading, writing, maths or science.
Example: 80 % of participating students will make at least 2 sub-levels of progress in reading over one year. I will measure this by comparing students’ reading levels at the start of the project with the end.
Target 1 Click or tap here to enter text.
Target 2 Click or tap here to enter text.
Target 3 Click or tap here to enter text.
YOUPlease tell us something about your background and your motivation for writing this application
(Word limit: 180 words)Click or tap here to enter text.
Please explain what makes this project an innovative way of improving attainment (Word limit: 180 words)
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THE BUDGET
What is the total cost of the proposed project? Click or tap here to enter text.
How much are you requesting from SHINE? (Maximum £15,000) Click or tap here to enter text.
Please outline in the table below the main expenditure items with assumptions about the cost.Examples of headings: Teachers salaries, Resources, Marketing, etc….
Expenditure item Amount Assumptions
Example: x 1 Teacher @ £33/hr x 20
£660 Fifteen 1 hr clubs and 5 hrs prep
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Total: Click or tap here to enter text.
ADDITIONAL INFORMATION
If you would like to add anything further to your application, please do so here. This could include links to other types of files including videos and websites. If you do not wish to add anything further at this stage, please leave this section blank.
(Word limit: 160 words)Click or tap here to enter text.
REFERENCES
Please give the names and addresses of two referees (who are not related to you) whom we can contact and whom you have known for at least six months and support your project. One referee should be the Head Teacher or Chair of Governors at your school.
Referee 1
First name and surname: Click or tap here to enter text.
Job title: Click or tap here to enter text.
Name and address of employer: Click or tap here to enter text.
Email address: Click or tap here to enter text.
Telephone number: Click or tap here to enter text.
Referee 2
First name and surname: Click or tap here to enter text.
Job title: Click or tap here to enter text.
Name and address of employer: Click or tap here to enter text.
Email address: Click or tap here to enter text.
Telephone number: Click or tap here to enter text.
INTERVIEWSIf you are shortlisted for an interview, these will take place on the following dates:
London: Tuesday 16th May, Wednesday 17th May, Thursday 18th MayLeeds: Wednesday 17th May
If you prefer to be interviewed in Leeds, please select this box: ☐
If you are unable to attend an interview on any of the dates mentioned above, please indicate this below:
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DATA PROTECTIONSHINE will only use your information for the purposes of the Let Teachers SHINE 2017 competition, including administrative and funding purposes, and to ensure that we comply with regulations and required standards. Statistics will be gathered to monitor projects and to plan future provisions. We will not pass your details on to any third parties.
We would also like to contact you with occasional updates about our funding opportunities in the future. You can request to stop receiving these updates at any time. If you are happy to receive these types of communications, please select this box: ☐
MARKETINGHow did you find out about Let Teachers SHINE?
TES Magazine ☐TES online / email ☐Leaflet or poster ☐Twitter ☐Capita SIMS ☐Word of mouth (please specify below) ☐Other (please specify below) ☐
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SIGNATUREI confirm that, as far as I am aware, all the information on this application form is true and correct. I understand that SHINE may ask for more information at any stage of the application process or when the project is running. I confirm that I am a practising, qualified teacher and that I have the consent of my Head Teacher or Chair of Governors to write this application.
Signature (this can be typed) Click or tap here to enter text.
Name Click or tap here to enter text.
Date Click or tap here to enter text.
SUBMITTING YOUR APPLICATION
Completed final application forms should be submitted online through the SHINE website: www.shinetrust.org.uk/what-we-do/teacher-led-innovation/apply/
If you have any questions, please email: [email protected] or call the SHINE office on: 0208 393 1880.
APPLICATION DEADLINE: 12pm, Monday 24th April 2017
