

Please also note the following variations:
These fees apply for appointments made up to 31 August 2010. There will be an increase in the above fees for all placements in the year 2010-2011. The increase will come into effect from 1 September 2010.
| On | ||
| Name of person completing the application form (1-27) and this agreement | Date |
Username
Password
Please list the names of at least two other long term local employees
who know and will be responsible for recording permanently the school's
username and password.