Notes for Completing the Application Form
For Employment as English Teacher
CODE A002
1. Please ensure that all information you supply in this form is accurate and complete. Do not just attach a pre-typed CV which may not contain all the information we require. If there is insufficient space, please give details on a separate sheet to be attached to this application.
2. Your degree diplomas/ certificates, transcripts of studies, teacher registration certificate and statements/ certificates of service regarding your teaching experience should be presented according to our request. It is recommended to attach these evidences to the application.
3. An active email address must be provided. It will be used for future communication regarding the interview date/venue, results of your application and job offer, etc.
4. You can complete this form in Ms-word software and convert it into PDF file or print and scan it after completion
Please return the completed form and copies of the supporting documents by ELECRONIC MAIL to the following address.
5. administrator@ieltsteam.com or ieltsteam.au@gmail.com
Candidate No.
(For official use only)
Application for Employment as English Teacher
(A) Personal Particulars
Name: * Mr/Mrs/Ms ______________________________________________________________
First name Family name
Date of birth _____/____/_____ Place of birth ________________ Nationality_________________
D / M / Y
Attach a
passport size
photo taken within
the last six months
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*Passport Number ___________________________
Residential Address _______________________________________________
_____________________________________________Postcode___________
_______________________________________________________________
(Country)
Correspondence Address (if different from the address given above, do not use PO BOX)
_____________________________________________________________________________
_____________________________________________Postcode___________
________________________________________________________________
(Country)
E-mail Address [Refer to Note (3)] ___________________________ or ____________________________
Daytime contact Telephone Number _______--_______________________
Country code Area code Phone number
Residential Telephone Number ________--_______-- ________________________
Country code Area code Phone number
Cell Phone Number _________--_______--________________________
Country code Area Code Fax number
(B) Academic attainment (in chronological order)
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Colleges, universities, etc. attended |
Qualifications
(e.g. BA , MEd) |
Major
Subjects |
Full or Part
time |
on campus / Distance
learning |
Date
(month / year) |
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(C) Teacher training qualifications (in chronological order)
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Qualifications
(e.g. Dip Teach, BEd, PGDE,
Cert TESL/TEFL) |
Full name of issuing authority |
No. of hours of teaching practice |
Full or Part time |
On campus/ Distance learning |
Date
(month / year) |
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(D) Post-qualification experience teaching English/ESL/EFL(in chronological order)
Please include ONLY continuous employment of more than 3 months
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Name of institution |
Age/Levels taught |
Subjects taught |
Date
(day/month/year) |
Full or
Part time |
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(E) Skills
(a) Language
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First language |
Second language |
Others |
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(b) Others (extra-curricular activities, IT, etc.) ________________________________________________
_____________________________________________________________________________________
(F) Your free times schedule
(Please write on the table below detailed free time schedule)
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21-23 |
19-21 |
17-19 |
15-17 |
13-15 |
11-13 |
9-11 |
20-22 |
18-20 |
16-18 |
14-16 |
12-14 |
10-12 |
8-10 |
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(G) Preferred course
(Please indicate the course which you are eager and capable to teach)
¨ IELTS Preparation
¨ General English Crash Course
¨ General English Regular Course
¨ TOEFL Preparation Courses
¨ Technical English
¨ Commercial and Bussiness English
¨ Legal English
(H)I prefer to work at
¨ IELTS TEAM Centre
¨ Student Place
¨ Both
(I). Have you ever been convicted of a crime other than minor traffic accident?
□Yes □No If yes, please give details below
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(J)Driving Capbility
Can you use your own car for private classes?
□Yes □No
(K)
Within the last five years, have you ever broken your contract for any reason?
□Yes □No If yes, please give details below
Above information given is true and correct. If the information on this form is not correct, or if degrees are from non-accredited institutions, or any other degrees or certificates are found to be falsified the IELTS GROUP reserves the right to terminate application or employment immediately.
Signature of Applicant ________________________________ Date _________________________
Medical Form (Self Evaluation)
To the applicant: Please provide correct information for the following questions. Any omission or false information will delay processing of your application.
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1. Have you ever caught infectious diseases that threaten Public Health before?
□ Yes (Infectious Disease name: ) □ No |
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2. Have you ever received treatment for Mental, Neurotic or Emotional Disorder?
□ Yes (Disorder name: ) □ No |
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3. Have you ever taken any Narcotic (Drug) or Have you ever been addicted to alcohol?
□ Yes ( Narcotic name: ) □ No |
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4. Are or were you HIV (AIDS) positive?
□ Yes □ No |
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5. Have you had any serious Injuries or Diseases in the past five years?
□ Yes (Name & recent situation: ) □ No |
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6. Do you have any allergies?
□ Yes (List: ) □ No |
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7. Are you taking any Prescribed Medication?
□ Yes (List & explain: ) □ No |
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8. Are you on a special diet?
□ Yes (Please explain: ) □ No |
9. Height______________________(feet/meters) Weight______________________(pounds/kg)
I CERTIFY THAT ALL THE INFORMATION I HAVE GIVEN IS TRUE AND CORRECT TO THE BEST OF MY KNOWEDGE.
Signature _________________________________ Date ______________________________________