Threshold Assessment Application Form

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THRESHOLD ASSESSMENT APPLICATION FORM
st
(For teachers eligible to progress to point 1 of the upper pay scale from 1
September 2008)
Name: ___________________________________________________________
TR Number: ____________________
I certify that I was on point M6 of the main pay scale for teachers on or before 1st September 2007
and am eligible to apply for movement to point 1 of the upper pay scale with effect from 1st
September 2008.
I understand that the decision on my progression will be based on my performance within the four
Threshold Standards taking into account my two most recent PRSD review statements.
I have provided a summary of the evidence from my teaching practice below that I believe
demonstrates how I have met the threshold standards. (Where evidence is available from PRSD
review statements the information should be used to complete the relevant section in the application
form).
Teacher signature: ______________________________ Date: _________
I have provided a summary of the evidence from my teaching practice that demonstrates how I believe I have met the
threshold standards.

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