Net booking form

Booking Form Please complete this form if you are interested in offering Net-Teach courses in 2011-2012. We will contact you to discuss your details and requirements.

Your Contact Details: School/College: Address: Contact name: Direct telephone number: Email:

We are able to offer taster sessions for the subjects chosen by you; please indicate if this is of interest.

I would/would not be interested in a taster session Subject______________________________________________ Contact teacher______________________________________________

Please remember: - Allow one hour a week for tutorials - Modern Foreign Languages receive 2 one hour tutorials a week. These must not be on the same day - There is a maximum of 10 students per group.

Subjects interested in:

Please complete the sections below indicating the subjects you are interested in offering.

Subject 1: GCSE/BTEC/A-Level/IB: No. of students: Day:

Time:

Subject 2:__________________ GCSE/BTEC/A-Level/IB: No. of students: Day:

Time:

Subject 3:__________________ GCSE/BTEC/A-Level/IB: No. of students: Day:

Time:

Please return this form to:

1 Manor Cottages, Upper Chute, Hampshire, SP11 9EJ By phone - 01708-856 116/07779651116

Completion of this form does not commit your school to expenditure but it indicates to us the courses you would like to offer and your preferred times.