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 assem led in page order num er. Your application must b !or" proc ss "# Han"!ritt n applications !ill not b acc pt "

$# APPLICATION YEAR +# FAMILY NAME )# PASSPORT

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%# APPLICATION I* !copy from your PDF" '# FORENAME,S- .# *EPEN*ANTS 'f on page 1 of your application you ans(ered )yes* to the &uestion a out dependants accompanying you a road during your assistantship+ please no( give details of num er of children+ age!s"+ special needs. There is no guarantee that the foreign authorities (ill e a le to cater for the needs of assistants* dependants. 'f you hope to e accompanied y your partner,child!ren"+ you must enclose a letter confirming their financial independence.

#hat is your current passport num er$

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

/# NE0T OF 1IN 2 EMERGENCY CONTACT *ETAILS

For further information and specific passport re&uirements for individual countries please see the application guidance notes.

-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 ta.en. Please continue on a separate sheet if necessary /0H112 1 /0H112 2 D3TE/ !must cover your years aged 11-14+ in /cotland 12-14" mm,yyyy 5 mm,yyyy /0H112 -36E

/0H112 3DD7E//

83P 9E37 !if completed et(een leaving school and university. 'nclude details of (hat you did" Dates must e included
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4# GAP YEARS AN* GRA*UATES Have you had a gap of % 5 ars or 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 e considered.

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3/ , Higher level e&uivalent=

3 , 3/ , Higher level &ualification

Degree level==

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&# FOREIGN LANGUAGE S1ILLS 2evel of proficiency and,or &ualifications gained in !a" language of first choice country = -o &ualification+ ho(ever your proficiency in the language is e&uivalent to 3/ , Higher level. == )Degree level* means that the language is,(as a formal part of your degree course. ! " other languages !including level of proficiency"

$$# TIME SPENT A6ROA* 7TE0T6O0 LIMIT +3& CHARACTERS8 Location, nature and dates of any period spent abroad of 4 weeks or more, including holidays. Mention school exchanges of any duration.

$%# PRE9IOUS ASSISTANTSHIP 7TE0T6O0 LIMIT +3& CHARACTERS8 Previous service as an English language assistant or Comenius assistant on any British Council/Central Bureau programme location, type of school, dates. !n order for your application to be considered you must attach a reference "on letter headed paper and signed# from your host school.

$+# YOUR TEACHING E0PERIENCE 7TE0T6O0 LIMIT )&& CHARACTERS8 $etails of any formal or informal teaching experience "as a previous assistant if applicable#. Please include duration/dates.

$'# YOUR S1ILLS AN* INTERESTS 7TE0T6O0 LIMIT $&&& CHARACTERS8 %&ills, 'ualifications, interests and other experience "e.g. sport, music, drama, organising clubs/games, youth (or&, voluntary (or&, full)time or part)time employment#. Please include duration/dates (here appropriate.

$)# YOUR CONTRI6UTION 7TE0T6O0 LIMIT /)& CHARACTERS8 Explain ho( your s&ills, interests and experience (ould contribute to your role as a language assistant.

$.# YOUR MOTI9ATION 7TE0T6O0 LIMIT $&&& CHARACTERS8 *easons for your interest in the programme other than +course re'uirement,. !nclude future career plans, if &no(n.

$/# YOUR A*APTA6ILITY 7TE0T6O0 LIMIT $&&& CHARACTERS8 -ive an example of a time (hen you have interacted (ith a different culture in the ./ or abroad, describing the situation and your response to it or part in it.

$3# REASONS FOR PREFERENCES 7TE0T6O0 LIMIT $&&& CHARACTERS8 Please state your reasons for selecting your first choice country preference and if on page 0 of your application you expressed area, environment or age)group preferences, please give reasons for your choice.

Don>t ?no( $4# MEANS OF TRANSPORT 'f you are in possession of a car,motor i.e+ do you intend to ta.e the vehicle a road (ith you$ 9ou should loo. into the insurance implications efore you decide.

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%&# ESSENTIAL 6AC1GROUN* INFORMATION 3re there any circumstances (hich may affect your a ility to live independently a road and,or to perform your contractual duties+ such as a disa ility or a medical condition$ This (ill ena le 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 specific re&uirements may e. 3 formal medical certificate is not re&uired y the <ritish 0ouncil ut may e re&uired at a future date y the foreign authority or employing institution. 't is not possi le for the <ritish 0ouncil to guarantee a placement in an area close to a particular medical facility or at a school a le to offer specific support. 9es -o 9es -o 9es -o %$# CRIMINAL RECOR* 7TE0T6O0 LIMIT )&& CHARACTERS8 Have you ever een arrested+ dealt (ith y (ay of 0aution,#arning,7eprimand or een convicted of a criminal offence in England+ #ales+ -orthern 'reland or /cotland$= Have you ever committed a criminal offence overseas$ 3re you the su @ect of any outstanding civil or criminal proceedings$ 'f you ans(ered yes to any of the a ove please provide full details elo( including details of the offence and the sentence imposed. Ander the 7eha ilitation of 1ffenders 3ct 1BCD you are eEpected to declare even spent convictions (hen applying for a post in education. Ho(ever+ declaring a criminal record (ill not automatically dis&ualify you from this programme. =Please note you (ill e re&uired to apply for a criminal record chec. as part of the application process.

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%%# CAN*I*ATE:S *ECLARATION !a" ' declare that ' have never een convicted of any offence involving any type of harm to a child or children+ nor have ' ever een (arned+ reprimanded or cautioned in relation to such a matter. ' also declare that there are no civil or criminal proceedings of any nature pending against me at the date of this declaration relating to any allegation concerning any type of harm to a child or children. ' understand that if ' (ithhold any relevant information+ or present false or inaccurate information relating to my criminal record+ ' may render myself lia le to dis&ualification from the programme or+ if already appointed to dismissal. ' have no o @ection if it is necessary for the <ritish 0ouncil to disclose the information o tained from the criminal record chec. to the overseas partner agency and host school in order to assess the application. ! " ' declare that in su mitting this form it is my intention to proceed (ith my application for a post as an English 2anguage 3ssistant and to complete the full period for (hich ' may e appointed. ' have read and ' accept the conditions as set out in the 2anguage 3ssistants (e site. /ignature of candidate FFFFFFFFFFFFFFFFFFFFFFFFF Date FFFFFFFFFFFFFFFFFF %+# *ATA PROTECTION !a" The <ritish 0ouncil (ill use the information you provide on your application form and your criminal record chec. for the purpose of assessing your application and+ if you are successful+ for administering your participation in the language assistant programme. #e shall pass your information to colla orating institutions+ programme participants+ government departments and other third parties involved in the programme. ! " Ander A? Data Protection la( you have the right to as. for a copy of the information (e hold on you+ for (hich (e may charge a fee+ and the right to as. us to correct any inaccuracies in that information. 'f you (ant more information a out this please contact your local <ritish 0ouncil office or the Data Protection Team "ataprot ction;britis<council#or=+ or see our (e siteG !!!#britis<council#or=2<om ("ata(prot ction#<tm.