TEACHER INFORMATION FORM
NAME
AS IT APPEARS ON YOUR PASSPORT
CORRESPONDENCE ADDRESS
TELEPHONE NUMBER
MOBILE NUMBER
E-MAIL ADDRESS
DIETARY REQUIREMENTS
NI NUMBER
CONTACT 1 NAME: CONTACT 2 NAME:
EMERGENCY
CONTACTS
RELATIONSHIP RELATIONSHIP
WHILE
OVERSEAS
TELEPHONE NUMBER TELEPHONE NUMBER
HIGHER EDUCATION (UNDERGRADUATE & POSTGRADUATE DEGREES)
TITLE VALIDATING BODY DATE GRADE
EFL QUALIFICATIONS
TITLE VALIDATING BODY DATE GRADE
IF YOU HAVE BEEN DBS CHECKED IN THE LAST 12 MONTHS, PLEASE GIVE DETAILS BELOW
TYPE OF CHECK
• Standard
NUMBER DATE
• Enhanced
• Enhanced with checks
TEACHING EXPERIENCE
NUMBER OF YEARS TEACHING (EFL) NUMBER OF YEARS TEACHING (OTHER)
PLEASE CHECK THE MOST APPROPRIATE STATEMENT FOR EACH OF THE FOLLOWING COURSES
NO:
YES: OK: PLEASE TICK ANY
I WOULD NOT FEEL
I AM EXPERIENCED I AM ABLE TO TEACH COURSES THAT YOU
COMFORTABLE
IN TEACHING SUCH SUCH COURSES BUT THEY PARTICULARLY ENJOY
TEACHING SUCH
COURSES ARE NOT MY SPECIALTY TEACHING
COURSES
BUSINESS ENGLISH
ENGLISH FOR ACADEMIC PURPOSES (EAP)
IELTS
GENERAL ENGLISH FOR PRIMARY LEARNERS (7-11
YEARS)
GENERAL ENGLISH FOR SECONDARY LEARNERS
(11-15 YEARS)
GENERAL ENGLISH FOR SECONDARY LEARNERS/
ADULT LEARNERS (16+)
EXAM PREPARATION (KET, FLE, etc.)
TEACHER TRAINING / INSET
OTHER INTERESTS AND EXPERIENCE (Please tick any areas in which you have a particular interest)
SPORT MUSIC DRAMA
MANAGEMENT EXPERIENCE (DOS, ADOS, Senior Teacher)
YES NO
DETAILS OF COUNTRIES IN WHICH YOU HAVE WORKED
PREFERRED LENGTH OF CONTRACT & POSSIBLE AVAILABILITY FOR SHORT-NOTICE CONTRACTS
Please tick
1 week 2-3 weeks 4-5 weeks 6+ weeks
AVAILABLE AT SHORT NOTICE? NOTICE REQUIRED
Yes No
WHERE DID YOU HEAR ABOUT ENGLISH IN ACTION?
(e.g. name of website or person who recommended that you apply)
