1. Pascal Connect application form 2016 .pdf
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Author: Paul Clement
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Pascal Connect English School
Employment Application Form
1 - General Information:
Date of birth
Country of birth
If you hold any passports other than from your country of birth, please list them here:
2 - Current Contact Details:
Best contact time
(please include time
3 - Additional questions:
A - Are you available for employment starting immediately and running until June 30, 2017?
B - Do you have any on-going physical or emotional illnesses or disabilities that you think
could interfere with your ability to do this job? (If yes, please provide details)
C - Have you had any major illnesses or operations over the past 3 years that you think could
interfere with your ability to do this job? (If yes, please provide details)
D - Have you ever been convicted of a criminal offence? (If yes, please provide details)
E - What interests you about teaching English?
F - What interests you about teaching English in Poland?
G - Please list three of your personal interests.
H - Please list three goals you hope to achieve in the next five years.
I – Do you hold a valid driver's licence?
J – Please list (a maximum of five) computer programs or online teaching tools that you are
able to use effectively.
K – Please complete the following table, where applicable, showing your teaching experience.
Approximate hours of
Under five years old
Five to seven
Eight to twelve
Thirteen to fifteen
Sixteen to eighteen
Exam preparation classes
(e.g. FCE, IELTS)
L – Which ages and levels, if any, do you prefer teaching?
Levels (e.g. Beginner,
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