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Apply Online Qualified EFL Teacher

I am applying for a position as an EFL Teacher based on my TEFL qualification. * indicates mandatory fields A. Personal Details Surname*: First name*: Middle name: Sex*: M F Date of birth*: City of birth*: Country of birth*: Nationality at birth*: Nationality*: Native Language*: Second language: Third language: Current contact address*: Postal code: Tel.: Skype address: E-mail address*: E-mail address (alternate): Do you hold a valid Passport?* Yes No  (if yes, complete this section) Country of issue: Passport number: Expiry date: In which country will you apply for a visa: Nearest Russian consulate in that country: Date available from*: Preferred posting (first choice): Preferred posting (second choice): I am prepared to be flexible*: Y N Encumbrances (all questions must be answered) Do you know of any reason that might make it difficult for you to fulfill a 9-month contract (e.g. family obligations/illness)?* : Y N Do you have any medical conditions that require medication or periodic medical care?*: Y N If 'yes' to either question, please explain in the space provided below. Have you ever been convicted of a felony, or a misdemeanor, involving any violent act, use or possession of a weapon or act of dishonesty for which the record has not been sealed or expunged?*: Y N If 'yes', please explain in the space provided below. B. Educational Details Highest Academic Qualification*: University: Major: Graduation Date: Minor: Other academic Qualification: University: Major: Graduation Date: Minor: Other Professional Qualifications: Other coursework and/or experience (please tick boxes) Anthropology Health care/ Medicine Archeology IT Architecture Journalism Art/ Music Languages Business/ Economics Law Engineering Literature Film/ Media/ TV Marketing/ Management C. EFL Qualifications Please indicate which TEFL Qualification(s) you hold.* CELTA Trinity TESOL TEFL/ TESL DELTA Trinity Licentiate BA/ MA TESOL Training college*: Location*: Graduation date*: Final grade*: Course duration*: Teaching practice*: Y N Tutor's name*: Email*: Tel. Number: D. EFL Experience Do you have formal experience teaching English as a Foreign Language? * Yes No   If 'yes', please complete this section. If 'no', please go directly to Section E. 1) Name of school: From: To: Referee: Telephone No.: E-mail Address: 2) Name of school: From: To: Referee: Telephone No.: E-mail Address: 3) Name of school: From: To: Referee: Telephone No.: E-mail Address: Have you ever taught General English?* Yes No   If yes, which levels of General English have you taught? Beginners Intermediate Elementary Upper-intermediate Pre-intermediate Advanced Please list the names of any coursebooks that you have used to teach General English. Have you ever taught International Examination classes?* Yes No   If yes, which International Examination classes have you taught? FCE IELTS CAE TOEFL CPE Other Please list the names of any coursebooks that you have used to teach International Examinations. Have you ever taught Young Learner Classes?* Yes No   If yes, which age groups have you taught? 4-5 year olds 11-13 year olds 6-10 year olds 14-16 year olds Please list the names of any coursebooks that you have used to teach young learners. Have you ever... taught in-company taught English for Specific Purposes (ESP) taught Business English taught English online What size classes have you taught*? Individual students (1 to 1) Groups from 9 - 12 students Small groups up to 8 students Large groups > 12 students Language Link is committed to providing its teachers with the best possible programme of academic support. If selected for employment with Language Link, in which of the following areas would you be most interested in receiving additional academic support. Please note: this question has been designed to assist Language Link to address the academic support needs of its teachers and has no bearing on our teacher selection process. Presenting/Teaching Grammar Teaching Young Learners Classroom Management Teaching Teens Teaching Individuals Teaching Business English? Teaching Pronunciation Teaching Mixed Ability Groups Learning Phonetics Other, please specify    E. Other Professional Experience (Optional) Have you ever been employed outside of EFL? Yes No If yes, please list your last two employers and dates of employment. Employer From: To: Employer From: To: Briefly describe your professional experience, if any, outside of EFL. If you have other professional experience outside of EFL, that you would like us to consider, please send a CV to jobs@languagelink.ru. F. Personal Profile Describe yourself using three adjectives and explain why you chose them.* Describe your interests and hobbies and whether you expect to be able to engage in these activities if offered employment in Russia.* State how you believe a term of employment in Russia will help with your future plans.* Have you ever lived/ worked abroad for more than three months?* YesNo If yes, answer the rest of the questions in this section. If no, answer only the last two questions. In which countries? Please complete the boxes below. Country/ City From To Country/ City From To Country/ City From To Have you ever visited Russia?* YesNo If yes, please provide us with dates, purpose of visit(s) and places visited. If accepted for employment, what do you anticipate will be the most challenging aspect of living and working in Russia for you personally?* G. Professional and Academic References For applicants without relevant teaching experience, please provide the names and contact information of two referees who have known you in either a professional or academic capacity* Referee No. 1 Contact Information Referee No. 2 Contact Information Name:* Title*: E-Mail:* Tel.: Fax: Name:* Title*: E-Mail:* Tel.: Fax: NB. For ease and efficiency of communication, e-mail addresses are preferable. H. Where You Heard About Us Where did you find out about this Language Link Job Opportunity?* goabroad.com www.tefl.com From a friend studyabroad.com Transitions Abroad website From my university studyabroadlinks.com Transitions Abroad magazine Other (please state) Language Link website www.languagelink.ru Russian Life I. Declaration I declare that I have not knowingly made any false statements in this application form. I understand that the giving of false information may result in my expulsion from the Language Link programme.* I agree