ENGLISH FOR AVIATION LANGUAGE TESTING SYSTEM
ICAO 295 LAN TST
EALTS Examiner Application Form /
1 / TheEALTS(English for Aviation Language Testing System) comprises the EALT(English for Aviation Language Test) and the ICAO ELSA(ICAO Expert Level Six Speaker Assessment). Please tick the relevant box(es) to indicate the category of EALTS Examiner work for which you are applying.
EALT Examiner (interlocutor/assessor) with Aviation Operational Expertise (AOE)
EALT Examiner (interlocutor/assessor) with Language Specialist Expertise (LSE)
ICAO ELSA Examiner (interlocutor/assessor) with Aviation Operational Expertise (AOE)
ICAO ELSA Examiner (interlocutor/assessor) with Language Specialist Expertise (LSE)
EALTS Examiner Trainer
EALTS Remote Assessor
Through which EALTS Test Centre are you applying? / Centre Name / Centre №
If applying for remote assessment status only and not through an EALTS Test Centre, please indicate here.
Previous EALTS Assessor Application/Training(if applicable) / Centre Name(s) & № / Date(s)
Previous application(s) to be an EALTS Examiner
Previous trainingto become an EALTS Examiner
Are you able/prepared to travel to examine at Test Centres other than the one through which you
are applying as part of the EALTS Examiner Support Coordination System? / Yes / No
2 / Applicant Details
Surname / First Name(s) / Title / Former Surname
(e.g. Mr, Mrs, Miss, Ms, Dr, Capt.) / (If applicable)
First Language / Nationality / Gender () / Date of Birth
Female / Male / DD/MM/YYYY
(If notnative English speaker, please see Section 4 and Attachment A)
3 / Contact details
Contact Address(enter full postal address) / Home Telephone / Home e-mail address
Work Telephone / Work e-mail address
Mobile Telephone / Fax Number
4 / Level of English Language Proficiency(to be completed in all cases where first language is not English)
Highest qualification achieved
Grade
Awarding body
Date of award
Period of validity of award
For further informal indications of English language proficiency for non-native speakers, please completeAttachment A of this application form.
5 / Qualifications5a / Higher Education and Qualifications
Date / Institution (Name & Location) / Certificate / Diploma / Degree
From / To
5b / Aviation Qualifications
Date / Institution (Name & Location) / Certificate / Licence
From / To
5c / TESOL Qualifications
Date / Institution (Name & Location) / Certificate / Diploma / Degree
From / To
6 / Experience
6a / Aviation Operational Experience(Details of employment/experience in past three years)
Date / Employer / Organisation (Name & Location) / Duties
From / To
Total Number of years of aviation operational experience
6b / TESOL Experience(Details of employment/experience in past three years)
Date / Employer / Organisation (Name & Location) / Duties
From / To
Total Number of years of TESOL experience
Total Number of years of English for Aviation teaching experience
7 / Assessment / Examining Experience(recognised national & international examinations only)
Date / Examining / Validating / Certifying Organisation / Examination Title
From / To
Do you currently work as an oral language examiner for any other EFL/ESOL Examining Board? / Yes / No
If Yes, please state which Examining Board.
Total Number of years of Assessment / Examining Experience
8 / Professional Attributes and Interpersonal Skills
If you are able, please provide a recent performance assessment/employment appraisal (not more than 2 years old). If you are unable to provide an assessment, a reference is required from your current or recent employer.
If you do not wish your current or most recent employer to be contacted, please give details of an alternative referee. In the case of applicants for the position of Examiner with AOE, the referee must be someone who has worked with you as your superior in an aviation-related organisation or equivalent, or someone who has been involved in your instruction or on the job training or equivalent. In the case of applicants for the position of Examiner with LSE, the referee must be someone who has worked with you as your superior in a teaching institution where you have taught English to speakers of other languages or an equivalent.
Alternative Referee Details(if required)
Referee Name & Address(enter full postal address) / Telephone № / E-mail address
Length of time you worked together and dates
Referee’s job title / position at the time
For further informal indications of personal attributes and interpersonal skills, please completeAttachment B of this application form.
9 / Supporting DocumentationPlease ensure that you have included the following with your application as required:
a / Originals of any certificates or diplomas referred to in Sections4-7.b / A recent performance assessment or reference from your current or most recent employer – not older than two years before the date of application. (If you do not have a recent performance assessment or reference, a reference is required from you current or most recent employer or an alterative referee – see Section 8 of this application form.)
c / Any additional separate sheets as may be required.
d / Attachments A and B and any additional separate sheets as may be required.
e / A copy of your passport information pages (personal identification details and expiry date).
f / Two recent passport type/sized photographs. Your photographs must meet the following requirements.
- be identical
- be of you on your own
- be taken within the last three months
- be taken against a plain cream or light coloured background and free from shadows
- be in clear, sharp focus, with a clear difference between your face and the background
- be of you facing forward, looking straight at the camera showing your full head
- be a close-up of your head and shoulders, showing you with a neutral expression with your mouth closed
- be taken with nothing covering your face that may obscure the outline of your eyes, nose or mouth
- be taken with your eyes open, free of red-eye and clearly visible (without tinted lenses or hair across the eyes)
- be taken showing you without any head covering unless you wear it for religious beliefs or medical reasons
- be free from reflection or glare on your glasses (where possible, we recommend that you remove your glasses)
- be in colour, not black and white
- be printed on plain white photographic paper, untorn, uncreased and unmarked
- be of professional standard photographic and print quality
- be 45 mm high x 35 mm wide
- be clear of writing on the front and back
10 / Applicant Declarations
Please read the following and sign below each as an indication of your understanding and acceptance of the terms of application:
A / Declaration of Content
I declare that the information I have provided in this application form is full and accurate, to the best of my knowledge and belief, correct and complete.
Warning: if you include any details that you know to be false or if you withhold relevant information, you may render yourself liable to disqualification from the EALTS Examiner application process or, if certified to examine in any capacity, to such certification to being withdrawn. In addition, UK CAA International (CI) and/or LTAS (whichever is appropriate) may seek to recover from you all costs incurred in the application, training and certification process and any other costs relating to your work as an EALTS Examiner.
Name / Signature
B / Declaration of Confidentiality
I agree to observe in full the confidentiality requirements in relation to EALTS documents, procedures and test materials.
Name / Signature
C / Verification of Documents
I agree to pay the cost of verification of any documents required by CAAi/LTAS as part of the EALTS Examiner application process.
Name / Signature
D / Database Storage and Access to Information
I am aware that if I am successfully certified as an EALTS Examiner, all EALTS specific information will be held on an LTAS centrally managed database, appropriate areas of which may be accessed at any time by the Testing System Partners (CAAi or LTAS), EALTS Test Centre Administrators and EALTS Examiner Support Coordinators.
Name / Signature
Applicant name(please print clearly in capital letters)
Applicant signature
Application date
Completed applications with requiredattachments, enclosures and photographsshould be returned by hand or by post to the EALTS Administrator of the Test Centre with which you wish to be affiliated or to :
EALTS Examiner Recruitment
Central EALTS Administration
8, Verulam Place
Bournemouth
BH1 1DW
England
If you have any queries in relation to your application, please submit them by e-mail to
EALTS ID(to be completed by Central EALTS Administration) /
Data input to database by on
Attachment A / English Language Proficiency (to be completed by non-native speaking applicants only)
Part A / Please indicate your level of agreement with the following statements regarding your spoken English language skills.
←disagree / agree→
1 / 2 / 3 / 4 / 5
A1 / I am able to understand a variety of standard English accents with ease.
A2 / When making a spoken presentation in English, I am able to convey my
thoughts and express my meaning with ease and concision.
A3 / After reading a paragraph on an aviation related issue, I would be able to
make a verbal summary of its contents with ease.
A4 / When listening to lectures in which technical or sub-technical vocabulary is
used, I would be able to understand its meaning and usage with ease.
A5 / When watching an English language television documentary or when
listening to an English language news-based radio programme, I am able to
understand all discourse, dialogues and reports with ease.
PART B / Please provide brief details of each of the following in the spaces provided.
B1 / Place of birth and early residence.
B2 / The language(s) used during childhood in the family, in the community and socially.
B3 / The official language(s) of your resident country and the length of time you have been resident.
B4 / The language(s) used currently in the family, in the community, professionally and socially.
B5 / The language(s) used during primary, secondary and tertiary education.
B6 / Extended periods of English language study, EFL/ESP examination successes or higher education diplomas.
B7 / Extended periods of residence with demonstrable participation in communities where the English language is used socially, professionally or in education.
a)
B8 / b)Attendance or presentation at academic, educational and/or training events or activities in which the principal medium of communication is English.
c)
Attachment B / Professional Attributes and Interpersonal Skills(to be completed by all applicants)
You are requested to provide informal indications that you have the required professional attributes and interpersonal skills to become an EALTS Examiner in the category or categories in which you have applied (see Section 8 of the application form). In order for informal evaluations of these attributes and skills to be made for the purposes of EALTS Examiner Recruitment, please provide responses to the following. It is not necessary to write more than a few sentences in each case.
1 / Briefly describe a situation in your professional life in which effective communication has been important and the steps you took to ensure that your own communication was effective.
2 / Briefly describe a situation in your professional life where you have had to maintain confidentiality or follow procedures to ensure security.
3 / Briefly describe a task that you have had to complete accurately and in detail and the steps you took to ensure that you were able to complete the task to the required standard.
4 / Briefly describe an occasion when you have received and built on guidance and advice from others.
5 / Briefly describe what you consider to be important aspects of the professional or cultural context of your place of work.
6 / Please add any further relevant information that you would like to be considered in relation to your application.
E.g. experience in teaching or examining English language (general and ESP), experience in aviation or in the examination of aviation related communication skills (R/T, use of phraseology etc.)
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November 2010 / Appendix 2/Forms