Application Form - AET Marker

Personal Details *Title: [Select A Title] Dr Father Lady Miss Mr Mrs Ms Prof. Rev. Sir Sister *Forenames: *Surname: *Postcode:     Select Address: *Address: *Town/City: County: *Email: *Confirm Email: *Tel(home): Mobile: *Are you a native English speaker/is your command of English language at native speaker level? Yes No

Academic Qualifications University/College  From (yyyy)  To (yyyy)  Subject & Class  Degree  Are you TEFL Qualified?: Yes No Are you currently a TEFL Student?: Yes No Are you a qualified teacher?: Yes No Are you currently a PGCE student?: Yes No

Employment & Work Experience Are you currently working elsewhere?: Yes No Are you a full-time student?: Yes No Will you be available to work in May and June 2008?: Yes No Please provide details of present/previous employment, vacation work or any training which you think is relevant to your application: Employer From (mm/yy) To (mm/yy) Position Held Key Duties: Key Duties:   Key Duties: General Information Please provide a personal statement, of no more than 500 words, to support your application. You may find it useful to refer to the skills/competencies highlighted within the relevant job description:

Right to Work in the UK * I am a UK resident Yes No * I am a resident of an EU country Yes No I am not a UK or EU resident but hold a relevant visa. Yes No Visa type (e.g. Student): Visa Expiry (dd/mm/yyyy):

References We will be requesting references by email. Please ensure that you provide the correct email addresses for your referees and have requested and gained their permission before doing so. Your application will not be progressed unless we receive a reference. First Reference *Title [Select A Title] Dr Father Lady Miss Mr Mrs Ms Prof. Rev. Sir Sister *Forenames: *Surname: *Postcode: Select Address: *Address: Town/City: County: *Email: *Confirm Email:     *Tel(Day): Second Reference *Title [Select A Title] Dr Father Lady Miss Mr Mrs Ms Prof. Rev. Sir Sister *Forenames: *Surname: *Postcode: Select Address: *Address: Town/City: County: *Email: *Confirm Email: *Tel(Day):

Certification I certify that the information on this application is true and correct to the best of my knowledge and understand that the giving of false or misleading information may result in dismissal or disqualification. I acknowledge that any contract offer is subject to the receipt of satisfactory references. Please print off a copy of the application form for your own records before submitting. Please note: you will not be able to submit your application form unless the ACCEPT box is ticked. Accept:  Date: Go to Top of Page

Equal Opportunities Monitoring Gender: [Select a Gender] Male Female Date of Birth (dd/mm/yyyy):