Application Form

Please return this application to

Sarah Shaw–

Please provide 2 passport photographs.

Please complete all sections in capital letters

PERSONAL DETAILS

Surname ______First name(s) ______

Nationality ______Date of birth ______

Present address ______

______

Telephone numbers

(work) ______(home) ______

(mobile) ______

Email ______Skype ID ______

First language______Other languages______

EDUCATION (Please attach / scan or fax (+66 (0)53 244781) a copy of your CELTA certificate)

Dates (from-to) School/institution Qualifications

______

______

______

______

OTHER RELEVANT QUALIFICATIONS/TRAINING

______

______

______

TEACHING WORK EXPERIENCE

Please include post-TEFL Certificate experience only

Dates (from-to) Employer Post/Duties

______

______

______

______

______

______

REASON FOR DOING COURSE

Please state in approximately 200 words why you are interested in doing this course.

______

______

______

______

______

______

______

______

______

______

REFEREES

Please give names, email addresses, fax and phone numbers of three referees (including your current employer, a previous employer and someone who has known you for a long time). You should inform your referees that we will be sending them a written reference form to complete. The referees will be asked about your suitability for teaching children.

If you have a valid National Teacher Number, then please attach evidence to your application. In this case only one additional reference from your current employer is needed.

Your completed candidate declaration form should be attached to this application

The British Council reserves the right to carry out further checks on your suitability should references, your declaration and the interview not be fully satisfactory

We are unable to confirm your place on the course until we have received references

Current Employer Previous Employer Character Reference

______

______

______

______

______

INTERVIEWS

Interviews will be held in February.

Interviews will take approximately 30 minutes.

You will be asked to spend approximately 40 minutes on a pre-interview task which will be used as part of the interview

Please list times below when you will not be available for an interview.

______

Please list below if you would rather be contacted for the interview by phone or by Skype

______

The British Council is an equal opportunities employer and does not discriminate on the basis of race, colour, age, gender or physical disability.

Do you have any special needs that you would like us to take into consideration? ______

Applicants should be aware of the intensive nature of the course and the fact that it is possible to fail. The British Council cannot be held responsible for failure and completion of the course is no guarantee for a pass.

I hereby declare that the information in this form is correct, that any written work submitted is my own and that I am in a state of general good health.

Signed ______Date ______

______

Application Checklist

Please check that you have attached these items to your application

·  2 passport photos (or send them through internal mail)

·  Copy of TEFL certificate (or scan / fax it to us)

·  Candidate declaration form

Candidate self-declaration form

I the undersigned declare that I consider myself suitable to work with young learners and know of no impediment to by being employed in this type of work.

Name …………………………………………………………………………………

Signed ………………………………………………………………………………… Date ……………………….

Page 4 of 4