FOR NLT STAFF USE
Select which hub/team this form is for
Please select...
Birmingham Hub
Black Country Hub
Blackpool Hub
Bradford Hub
Communities Team
Connecting Stories Team
Criminal Justice Team
Doncaster Hub
Early Years Team
Fundraising Team
Hastings Hub
Home Learning Environment Team
Love Our Libraries Team
Manchester Hub
Middlesbrough Hub
North Yorkshire Coast Hub
Nottingham Hub
Peterborough Hub
Read NE Team
Sport and Literacy Team
Stoke Hub
Suffolk Hub - Haverhill
Suffolk Hub - Lowestoft
Suffolk Hub - Stowmarket
Swindon Hub
Words for Work Team
Young Readers Team
Young Writers Team
Which KPI metrics does this form relate to? Please tick as many as suitable
Reach
Engaged
Competition Entry
Is this just an expression of interest form or do you want to collect number of attendees?
Expression of interest
Number of attendees
Please select whether this activity relates to Connecting Stories and/or Literacy Champions (leave this as blank if neither apply)
Connecting Stories
Literacy Champions
In order to take part in one of the National Literacy Trust programmes, you must meet our eligibility criteria.
I confirm that my school is based in Nottingham or Derby.
I will take part in the evaluation.
I understand this programme is targeted at students in years 5 and 6.
The Premier League Reading Stars programme can be delivered by either by a teacher/teaching assistant or by a coach from Nottingham Forest, Notts County, or Derby County. You can choose the delivery method that suits your setting. However, please note that the Club delivery model is limited in availability and can only be accommodated by a select number of schools. The self-delivery model is open to all schools.
I am interested in Nottingham Forest / Notts County / Derby County delivering Premier League Reading Stars in my school
I am interested in delivering Premier League Reading Stars in my school without support from a Club
I am interested in both options
When are you intending to deliver this programme?
Summer 2 2023-24
Autumn 1 2024-25
School Details
Please complete this with the details of the person who will be coordinating the programme. All programme information will be sent to the details provided below.
First Name
Last Name
Are you completing this on behalf of a school or organisation?
School
Organisation
Job Title (including subject if teacher)
Please enter your school email address (not your personal email).
Address
School lookup
P
lease look up your school here, using the
name
or
postcode
.
If your school is not listed,
please leave this field empty
, and manually enter in the
School or Organisation Name
box below - ensure that your address is entered correctly otherwise your resources may be lost.
School or Organisation Name
Street Address Line 1
Street Address Line 2
City
Postcode
County
Participant age group information
Which phase of school will the pupils belong to?
Please select...
Primary
Which year group are the pupils from?
Please select...
Year 5 (9 - 10 years old)
Year 6 (10 - 11 years old)
How many students would you like the coach to work with? (This can be a rough estimate)
Taking part in the training and evaluation is a requirement for taking part in one of these
programmes.
I understand
Is this address a household or organisation?
Household
Organisation