8/13/2019 ApplicationFormPages2-5-2

1/4

APPLICATION FOR APPOINTMENT AS ENGLISH LANGUAGE ASSISTANT

Here are pages 2-5 of your application. The PDF you have received is page 1 of 5. Ensure the printed copies are assemled inpage order numer.

Your application must b !or" procss"# Han"!rittn applications !ill not b accpt"

$# APPLICATION YEAR %&$'(%&$) %# APPLICATION I* !copy from your PDF"

+# FAMILY NAME '# FORENAME,S-

)# PASSPORT

#hat is your current passport numer$

Please ensure your passport is valid up until the end of yourassistantship and for % months after this date.

For further information and specific passport re&uirements forindividual countries please see the application guidancenotes.

.# *EPEN*ANTS'f on page 1 of your application you ans(ered )yes* to the&uestion aout dependants accompanying you aroad duringyour assistantship+ please no( give details of numer ofchildren+ age!s"+ special needs. There is no guarantee that theforeign authorities (ill e ale to cater for the needs ofassistants* dependants. 'f you hope to e accompanied y yourpartner,child!ren"+ you must enclose a letter confirming theirfinancial independence.

/# NE0T OF 1IN 2 EMERGENCY CONTACT *ETAILS

ame

Telephone

E-mail

3# SECON*ARY E*UCATION

ame and address of schools,colleges attended+ (ith dates+ and rief details of gap year if taen. Please continue on a separatesheet if necessary

/0H 1 /0H 2

D3TE/ !must cover your yearsaged 11-14+ in /cotland 12-14"mm,yyyy mm,yyyy

/0H 36E

/0H 3DD7E//

83P 9E37 !if completed et(eenleaving school and university.'nclude details of (hat you did"Dates must e included

9es -o4# GAP YEARS AN* GRA*UATES

Have you had a gap of % 5arsor more et(een school and higher education$'f )yes*+ please attach a 0: in order for your application to e considered.'f you graduated in 2;12 or efore+ you should also attach a 0: and recent employer reference in order for your application to econsidered.

8/13/2019 ApplicationFormPages2-5-2

2/4

-one

8/13/2019 ApplicationFormPages2-5-2

3/4

8/13/2019 ApplicationFormPages2-5-2

4/4

9es -o % ESSENTIAL 6AC1GROUN* INFORMATION

3re there any circumstances (hich may affect your aility to live independently aroad and,or to perform your contractual duties+

such as a disaility or a medical condition$ This (ill enale us to consider your re&uirements from the start of the process.

'f you ans(ered )yes*+ please note on a separate sheet ho( your participation may e affected and (hat your specificre&uirements may e.

3 formal medical certificate is not re&uired y the