Page 2 APPLICATION FOR APPOINTMENT AS ENGLISH LANGUAGE ASSISTANT Here are pages 2-4 of your application. The PDF you have received is page 1. Ensure the printed copies are assembled in page order number. 1. APPLICATION YEAR 2013-2014 2. APPLICATION ID (copy from your PDF) 3. FAMILY NAME 4. FORENAME(S) 5. PASSPORT 6. DEPENDANTS If on page 1 of your application you answered ‘yes’ to the question about dependants accompanying you abroad during your assistantship, please now give details of number of children, age(s), What is your current passport number? special needs. There is no guarantee that the foreign authorities will be able to cater for the needs of assistants’ dependants. If you hope to be accompanied by your partner/child(ren), you must enclose a letter confirming their financial independence. Please ensure your passport is valid up until the end of your assistantship and for 6 months after this date. 7. NEXT OF KIN / EMERGENCY CONTACT DETAILS Name Please visit our website for specific passport requirements for individual countries. Telephone E-mail 8. SECONDARY EDUCATION) Name and address of schools/colleges attended, with dates, and brief details of gap year if taken SCHOOL 1 SCHOOL 2 DATES (must cover your years aged 11-18, in Scotland 12-18) SCHOOL NAME SCHOOL ADDRESS GAP YEAR (if completed between leaving school and university. Include details of what you did 9. GAP YEARS AND GRADUATES Have you had a gap of 2 years or more between school and higher education? Yes No If ‘yes’, please attach a CV in order for your application to be considered. If you graduated in 2011 or before, you should also attach a CV in order for your application to be considered 10. FOREIGN LANGUAGE SKILLS Level of proficiency and/or qualifications gained in (a) language of first choice country None Basic A / AS / Scottish Higher Degree level* Bilingual * ‘Degree level’ means that the language is/was a formal part of your degree course. (b) other languages 11. TIME SPENT ABROAD [TEXTBOX LIMIT 380 CHARACTERS] Location, nature and dates of any period spent abroad of 4 weeks or more, including holidays. Mention school exchanges of any duration. Page 3 12. PREVIOUS ASSISTANTSHIP [TEXTBOX LIMIT 380 CHARACTERS] Previous service as an English language assistant or Comenius assistant on any British Council/Central Bureau programme: location, type of school, dates. In order for your application to be considered you must attach a reference (on letter headed paper and signed) from your host school. 13. YOUR TEACHING EXPERIENCE [TEXTBOX LIMIT 500 CHARACTERS] Details of any formal or informal teaching experience (as a previous assistant if applicable) 14. YOUR SKILLS AND INTERESTS [TEXTBOX LIMIT 1000 CHARACTERS] Skills, qualifications, interests and other experience (e.g. sport, music, drama, organising clubs/games, youth work, voluntary work, full-time or part-time employment) 15. YOUR CONTRIBUTION [TEXTBOX LIMIT 750 CHARACTERS] Explain how your skills, interests and experience would contribute to your role as a language assistant. 16. YOUR MOTIVATION [TEXTBOX LIMIT 1000 CHARACTERS] Reasons for your interest in the programme other than ‘course requirement’. Include future career plans, if known. 17. YOUR ADAPTABILITY [TEXTBOX LIMIT 1000 CHARACTERS] Give an example of a time when you have interacted with a different culture in the UK or abroad, describing the situation and your response to it or part in it. 18. MEANS OF TRANSPORT If you are in possession of a car/motorbike, do you intend to take the vehicle abroad with you? You should look into the insurance implications before you decide. Yes No Don’t know Page 4 19. CONTACTS AND ACCOMMODATION [TEXTBOX LIMIT 380 CHARACTERS] If your reason for choosing an area in any country is that you have contacts and possible accommodation there, you must provide the name of your host and address of the accommodation. There is no guarantee, even so, that the foreign authorities will satisfy your request. 20. REASONS FOR PREFERENCES [TEXTBOX LIMIT 500 CHARACTERS] If on page 1 of your application you expressed area, environment or age-group preferences, please give brief reasons for your choice. 21. ESSENTIAL BACKGROUND INFORMATION Are there any circumstances which may affect your ability to live independently abroad and/or to perform your contractual duties, such as a disability or a medical condition? This will enable us to consider your requirements from the start of the process. Yes No If you answered ‘yes’, please note on a separate sheet how your participation may be affected and what your specific requirements may be. A formal medical certificate is not required by the British Council but may be required at a future date by the foreign authority or employing institution. It is not possible for the British Council to guarantee a placement in an area close to a particular medical facility or at a school able to offer specific support. 22. CRIMINAL RECORD [TEXTBOX LIMIT 500 CHARACTERS] Have you ever been convicted of a criminal offence? Yes No If you answered ‘yes’, please give details below of the offence and the sentence imposed. Under the Rehabilitation of Offenders Act 1974 you are expected to declare even spent convictions when applying for a post in education. However, declaring a conviction will not automatically disqualify you from this programme. 23. CANDIDATE’S DECLARATION (a) I declare that I have never been convicted of any offence involving any type of harm to a child or children, nor have I ever been warned or cautioned in relation to such a matter. I 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. I understand that if I withhold any relevant information, or present false or inaccurate information, I may render myself liable to disqualification from the programme or, if already appointed, to dismissal. I have no objection if the British Council seeks criminal record information in relation to any allegation concerning any type of harm to a child or children. (b) I declare that in submitting this form it is my intention to proceed with my application for a post as an English Language Assistant and to complete the full period for which I may be appointed. I have read and I accept the conditions of service as set out in the Language Assistants website. Signature of candidate ………………………………………………………………… Date ……………………………………………… 24. DATA PROTECTION (a) The British Council will use the information you provide for the purpose of assessing your application and, if you are successful, for administering your participation in the language assistant programme. We shall pass your information to collaborating institutions, programme participants, government departments and other third parties involved in the programme. (b) You have the right to ask for a copy of the information we hold on you, for which we may charge a fee, and the right to ask us to correct any inaccuracies. If you want to see a copy of your information, please e-mail the Data Protection Team at firstname.lastname@example.org or write to Data Protection Team, British Council, 10 Spring Gardens, London SW1A 2BN.
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