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
Our Media Literacy Ambassador programme is available to all teachers in England who are delivering (or have previously delivered) our Empower programme. This programme is fully funded and there will be no cost to your school. The programme will take place between September and November 2024. In order to access this CPD opportunity, please confirm that the following statements are true:
I confirm that I have run/will be running the Empower programme and that my school is based in England and does not charge fees to its students.
I will undertake the required training (4 x 60-minute online sessions) and take part in the evaluation.
I have permission from my headteacher/senior leadership team to deliver training in a whole school context.
School Details
Please complete this with the details of the person who will be delivering the Empower 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 or Club Community Organisation 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
From the following options, which best describes your setting?
Alternative Provision (including PRUs, SEMH, Hospital School)
Mainstream School with an Internal Exclusion Unit
Mainstream School without an Internal Exclusion Unit
School information
How many students attend your setting (this can be approximate)?
How many members of staff are employed in your setting (this can be approximate)?
Taking part in the training and evaluation is a requirement for taking part in the Media Literacy Ambassador programme.
You will be contacted in March to confirm if you have a spot on the programme. You must attend the training sessions and complete the whole school training activity in order to complete the course. If you have any questions, please email ap@literacytrust.org.uk.
I understand
Is this address a household or organisation?
Household
Organisation