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Apply Online Teacher-Intern

I am applying for a position as a Teacher-Intern. * 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 now*: 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 If NO, specify why: 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. 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. Extracurricular Profile Have you ever taught classes or individual lessons (individual tutoring)? In what capacity and for how long? Please give as much information as possible.* Have you been recognized for good performance in any organization you have participated in (consider jobs, volunteer work, academic excellence, etc.)?* Have you ever worked with children or young people other than that which you may have described above; e.g. volunteer capacity, coaching? paid or unpaid?* Describe any organizations and activities you have been engaged in (sports teams, community service, etc).* Do you have any other experience you would like us to know about which may be relevant to you application?* D. 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?* E. Professional Experience Have you ever held either full-time or part-time employment?* Yes No If yes, please complete this section listing your last employer first. If 'no', please go directly to Section F Employer From: To: Briefly list your position and major responsibilities and duties. Employer From: To: Briefly list your position and major responsibilities and duties. F. 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. G. Intern Pledge I understand that if I am selected for the Language Link Internship Programme, I will be seen as both a representative of Language Link and as a representative of my country. My intention is to act as a goodwill ambassador and to conduct myself in a fitting manner. I have read the Programme Guidelines as set out below and agree to abide by them for the duration of my internship and professional employment with Language Link. Programme Guidelines: 1. Interns are expected to be sensitive to the host culture, conduct themselves in a proper and reasonable manner and observe local laws, rules and conventions. 2. Interns undertake to maintain a good standard of work and behave responsibly in their work experience, training and accommodation. "Training" includes work required for the Language Link Certificate in Teaching English as a Foreign Language. 3. Interns may not participate in political activities or impose their political or religious beliefs on their students. Interest in and learning about the various institutions and the political and economic environment in Russia is natural, however political or religious activism is prohibited.* I accept 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