Académique Documents
Professionnel Documents
Culture Documents
I PERSONAL DETAILS
1. Full Name (Male / Female)
2. Date & Place of Birth
3. Nationality ID Card Number
4. Religion
5. Address
6. Phone No (Home) (Mobile)
7. E-mail Address
8. Marital Status Single Married Widow Widower
9. Number of Children
10. Please write where and how do you know about vacancy
II FORMAL EDUCATION
Education Level School’s Name Year Graduate Year Major In (GPA)
Primary
High School
Academy
University
Others
English
2. Did you ever take any English proficiency test, such as: Cambridge exam/ IELTS/ TOEIC/ TOEFL (IBT or PBT)? If yes, please
write the score and the year it was taken.
IV ENGLISH LANGUAGE TEACHING EXPERIENCES:
Date/ Name of Level and age Starting pay per hour/ Last pay per Reason Leaving
Month/ Year Institution group per month hour/per month
1. Describe in some details your preferred approach on teaching English as a foreign language.
2. When teaching you give hand-outs to the students. One of your student crumples the paper and put in the waste-paper
basket. Please write in details what would you do in that situation!
Name & Address of Held Dates Employed (from Last Salary Reason for Leaving
Company – to)
VI FAMILY INFORMATION
4. Medical Record
2. Please write 3 school locations that you prefer (based on your priority to be located by referring to the list above)
a.
b.
c.
Apart from adult classes and in-company training, a lot of our students are young learner age 4-14 years old
3. Will you have a problem with teaching the above age range?
6. Your chances of getting hired will also depend on how available you are on the above hours.
a. Are you free to teach everyday (Monday to Friday) between 2:00pm – 9:00 pm?
b. Are you free to teach on Mon/ Wed/ Fri between 2:00pm – 9:00pm?
c. Are you free to teach on Tuesday and Thursday between 2:00pm – 9:00pm?
d. Are you free to teach on Saturday between 9:00am – 3:00pm?
2. Emergency Contacts :
3. Name of employee you know already working with English First (N/A if not applicable) :
5. Blood type : A B AB O
The information I have provided on this application form is accurate to the best of my knowledge.
I agree to accept responsibility for omission regarding my failure to disclose any relevant information.
Jakarta,…………………………………....
(…………………………………………………)
Name of Recommendation :