General Information |
| *Name |
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| *Address |
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| *Home Phone |
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| Work Phone |
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| *Email |
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| Fax |
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Personal Information |
| *Nationality |
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| *Date of Birth |
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| Place of Birth |
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| Do you have a criminal record? If yes, please provide details as to the date and nature of the offence. |
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| Teacher Registration Number (if applicable) or Reference Number (for UK teachers) |
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Next of Kin (please list someone who can be contacted easily in an emergency) |
| Name |
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| Relationship |
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| Address |
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| Telephone number (home) |
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| Telephone number (work) |
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Passport Information |
| Passport Number |
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| Date of Issue |
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| Place of Issue |
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| Valid Until |
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Areas of Expertise |
| *Teaching Choice 1 |
Subject/Field
Level |
| *Teaching Choice 2 |
Subject/Field
Level |
| *Teaching Choice 3 |
Subject/Field
Level |
Curricular Expertise |
*I have taught:
Make new selections
American (Advanced Placement)
British GCSE
British A levels
Australian - general
Australian - HSC
IB
MYP
PYP
ESL/EFL
Canadian
Other system (please specify)
I have
skills in computers. |
Languages spoken other than English |
| Language 1 Proficiency:
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| Language 2 Proficiency:
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| Language 3 Proficiency:
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Qualifications - Post Secondary
Start with your most recent qualification |
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Dates: From-To (mm/yyyy - mm/yyyy)
Degree earned
Name of College/University attended - include City and Country
Major areas of study
Dates: From-To (mm/yyyy - mm/yyyy)
Degree earned
Name of College/University attended - include City and Country
Major areas of study
Dates: From-To (mm/yyyy - mm/yyyy)
Degree earned
Name of College/University attended - include City and Country
Major areas of study
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| *Do you have a teaching diploma, license or certificate? |
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| If your answer was yes, what age range and subjects are you certified to teach? |
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Employment History
List your most recent position first |
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Dates From-To (mm/yyyy - mm/yyyy)
School Name and Location - include City, State and Country
Subject Description/Grade Level taught
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Dates From-To (mm/yyyy - mm/yyyy)
School Name and Location - include City, State and Country
Subject Description/Grade Level taught
|
Dates From-To (mm/yyyy - mm/yyyy)
School Name and Location - include City, State and Country
Subject Description/Grade Level taught
|
Dates From-To (mm/yyyy - mm/yyyy)
School Name and Location - include City, State and Country
Subject Description/Grade Level taught
|
Dates From-To (mm/yyyy - mm/yyyy)
School Name and Location - include City, State and Country
Subject Description/Grade Level taught
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| Provide any other relevant information regarding your work experience here (i.e. professional/personal /international details relevant to IST
requirements) |
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Professional Referees
List 3 professional referees who have supervised your work; including one from your most recent teaching position. |
First Referee
Second Referee
Third Referee
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Availability |
| *When will you be available to take up a position with International Supply Teachers (month/year)? |
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| *How much notice do you require to take up a short-term position? |
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| *Are there any impediments which may prevent you from accepting a position in any particular country (for example, health, religion)
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| *Is there any particular time period during which you cannot be considered for an emergency teaching position |
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| *Where did you hear about IST? |
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