* Required

COBIS Programme for Early Career Teachers (CPECT)

Booking Form

School Namerequired

School Countryrequired

Billing Addressrequired

VAT number (if applicable)

Booking Coordinator Name

Booking Coordinator Emailrequired

Is the school a COBIS Member?*

Yes No Unsure

Delegate Fees:

£995 for COBIS member schools

£1,100 for non-member schools

Fees are for the two-year programme (paid at point of registration)

If you would like to register more than five candidates, please contact events@cobis.org.uk

Candidate Details

Candidate 1 - First namerequired

Candidate 1 - Surnamerequired

Job title

Email (if known)

School Mentor Name (if known)

School Mentor Email (if known)

Add second candidate

Add additional candidate

Candidate 2 - First Namerequired

Candidate 2 - Surnamerequired

Job Title

Email (if known)

School Mentor Name (if known)

School Mentor Email (if known)

Add third candidate

Add additional candidate

Candidate 3 - First Namerequired

Candidate 3 - Surnamerequired

Job Title

Email (if known)

School Mentor Name (if known)

School Mentor Email (if known)

Add fourth candidate

Add additional candidate

Candidate 4 - First Namerequired

Candidate 4 - Surnamerequired

Job Title

Email (if known)

School Mentor Name (if known)

School Mentor Email (if known)

Add fifth candidate

Add additional candidate

Candidate 5: First Namerequired

Candidate 5: Surnamerequired

Job Title

Email (if known)

School Mentor Name (if known)

School Mentor Email (if known)

Data Sharing

The data contained in this form will be used by COBIS for invoicing purposes and for course delivery. The COBIS privacy policy can be found here. Full registration details will be shared with the course facilitators for the purpose of administering the course. Delegate and mentor details will be added to the course platform to enable course delivery.

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

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