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LANGUAGE
POINT TUTOR APPLICATION
Via G. Salvemini,3 - 00063 Campagnano di Roma
(Rome)-ITALY
Ph: +39 339.8013275 -
+39.334.3527321 - Fx: +39 069042037
www.language-point.it
language_point@yahoo.it
Please
attach two
passport photos
with your full
name on the back
First Name :
______________________________
Surname :_______________________________
Nationality :_______________________________
Male / Female
Date of Birth (dd/mm/yy) : ______________________
Address :
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Home Tel (include country code) : _________________________
Mobile Tel (include country code): _________________________
Fax (include country code) : ______________________________
E-mail (please PRINT NEATLY) :___________________________
Permanent address (if different from above) :
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Parent's name and Tel
: ______________________________________
Do you hold a UK/EU
passport or work visa? (please specify and include photocopy)
_______________________________________________________________________________________
Passport
number(s)___________________Issuing country(ies)_________________________
Exp. date_________________________ (please include photocopy of
passport)
National Insurance or Social Security Number_________________________
Do you have a criminal record? (please specify)
_______________________________________________________________________________________
_______________________________________________________________________________________
If we require you to
obtain a police record, will this be a problem? ___________________
When are you available to
start work? (please be specific)___________________________
How many weeks are you available to work?
_____________________________________
Do you smoke? Yes / Socially / No
Do you have any dietary requirements? (please specify)
_____________________________
Can you speak Italian?__________ (Rate between 0 and 10)
Current Occupation
:_________________________________________________________
College/University – include type of study :
______________________________________________________________________________________
______________________________________________________________________________________
Relevant Qualifications :
______________________________________________________________________________________
______________________________________________________________________________________
Work experience :
______________________________________________________________________________________
______________________________________________________________________________________
Experience in teaching
children :
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Do you hold a First Aid
Certificate? Yes / No – Year in which obtained___________________
Do you hold a Lifeguard Certificate? Yes / No – Year in which obtained
__________________
Do you hold a TEFL Certificate? Yes / No - Accredited
by______________________________
Any other relevant
certificates?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
List experience in the
field of drama and music :
_______________________________________________________________________________________
_______________________________________________________________________________________
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List the sports you feel
you can teach at an elementary level :
________________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________________
Are you a confident
swimmer? __________________________
List any instruments you
can play (please rate honestly between 0 and 10) :
______________________________________________________________________________________
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List four arts and crafts
you can teach :
_____________________________________________________________________________________
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Tell us why you are
interested in teaching the above activities :
______________________________________________________________________________________
______________________________________________________________________________________
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Do you have any other
different/unique skills that may be of interest to us?
(eg juggling, magic tricks, stage combat, puppetry, confidence building
etc)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Rate your knowledge of
English Grammar (Not of the English language)__________ (1 to 10)
As you will be teaching English, please give an example of:
a demonstrative
pronoun_________________________
a gerund :_________________________
an object pronoun :_________________________
a preposition :_________________________
an adverb :_________________________
an indefinite article:_________________________
a possessive adjective :_________________________
a possessive pronoun :__________________________
What job would you
like to have in 10 years time?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Please mention any
medical problems that could affect your performance :
______________________________________________________________________________________
______________________________________________________________________________________
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Describe yourself in
three words :
___________________________________________________________________________
Please give an
explanation of why you would like to be a camp counsellor, what you
think you
could offer, and what you think you would gain from this experience :
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Please give a brief
description of a challenging situation that may occur while teaching, or
taking
care of children. Tell us about the situation, and what you would do to
solve it
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Please list five
grammar games and five songs you feel would be suitable for 7-13 year
old children,
remembering their limited use of the English language. Tell us why you
selected these games and
songs (include words to the songs and brief descriptions of the games,
keeping in mind the reason behind your choice) … show us your creative
skills!
______________________________________________________________________________________
______________________________________________________________________________________
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PLEASE SEND IT AS
SOON AS POSSIBLE BY E-MAIL AND BY POST AND SIGN IT TO ACCEPT THE JOB | 
