School Registration Form for Teacher CPD - Creativity Across the Curriculum

Creativity Across the Curriculum - CPD Programme for Primary Schools in Galway
Please fill in your details below to register your school's interest to take part in the Creativity Across the Curriculum staff CPD programme during the 2025/26 academic year run by Teaching Artist Dee Deegan.

Dee would like to acknowledge and thank the Galway Education Centre for their support with this iniative.
School Details
School Name*
School Address*

Street Address

Street Address Line 2

CityCounty

Eircode
School phone number (no spaces!) *
Number of students in the school*
Number of teachers in the school (a minimum of 10 teachers applies - small schools in same locality can combine staff to meet this min requirement.*
Has your school previously participated in any of the following initiatives? You can select more than one option.*

Creative School's ProgrammeCreative ClustersTeacher Artist Partnership (TAP)Artist in Schools ProgrammeBlast ProgrammeNone of the aboveOther
If selected, is your school available to participate in workshops on either Mondays or Wednesdays immediatley after school ?*

YesNo
If selected, is your school available to participate in Workshop 1 during Sept to Dec 2025 term?*

YesNo
If selected, is your school available to participate in Workshop 2 during Jan to Easter 2026 term?*

YesNo
If selected, is your school willing to ensure that all teaching staff will attend the workshop and provide feedback?*

YesNo
Would your school be interested in taking part in further pilot workshops with Dee if/when they are available?*

YesNo
Pease provide any other details you consider relevant.
Co-operating Teacher Details

Each participating school must appoint a teacher to be the main point of contact to liaise with Dee. If coming together with another school to meet the min number requirement this will be the teacher repsonsible for all coordination and correspondance.
Teachers Name*

First NameLast Name
Teacher's Number (no spaces!) Please provide a mobile number*
Teacher's email*
example@example.com
Declaration

I confirm that the information provided in this form is correct. I have sought permission from school management to register our interest in participating in this programme. I understand that not all schools that register will be able to take part.
Co-operating Teacher's Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Creativity Across the Curriculum - CPD Programme for Primary Schools in Galway

School Details

Co-operating Teacher Details

Declaration