english language teacher questionnaire

ver. 20081007
ENGLISH LANGUAGE TEACHER QUESTIONNAIRE
Native-speaking English teacher
Non-native-speaking English teacher
Name:
Degrees / certificates / diplomas
Nationality:
(MA / BA, CPE, CAE, FCE, DELTA, CELTA, ILEC, TOLES
methodological):
Age:
Address in Poland:
Phone number:
Teaching experience CALLAN
METHOD: ………(years)
E-mail address:
Where?.....................
Are you interested in
taking part in the
CALLAN METHOD
training?
yes no
Work experience (two most recent jobs only):
Name and address of
Employed from
employer
(day-mth-year)
Employed to
(day-mth-year)
State five of your personality attributes and flaws:
Positive attributes
Position held
Reason/s ceased
employment
Flaws
1.
1.
2.
2.
3.
3.
4.
4.
5.
5.
Why do you want to work at ENGLISH BEST WAY?
…………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………
Do you prefer teaching children or adults?
…………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………..............
....................................................................................................................................................................................................
Are you prepared to conduct Business English/Grammar/Conversation classes? If so, which?
…………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………
Where do you want to work? (Tick at least 3):
WARSZAWA
PRUSZKÓW
WOŁOMIN
GRODZISK MAZOWIECKI
When do you want to work?
Tick the proper boxes, please. (1h=50min.)
STARTS AT:
MON
TUE
LEGIONOWO
SOCHACZEW
śYRARDÓW
WE
TH
FRI
SAT
SUN
7AM
8AM
9AM
10AM
11AM
12AM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
What kind of transport do you use?
How many hours a week do you want to teach?
public transport and/or your own means of transport
……..…… hours/week
How much do you wish to earn?
PLN……………per 50 minutes lesson (GROSS)
Are you a student?
Are you self-employed?
If you are not offered a job now, would you be interested at a later date?
yes no
yes no
yes no
I hereby agree for processing the following personal information strictly for the purposes of job recruitment in accordance
with the regulation for the protection of personal data passed on the following day: 29.08.97r. DzU nr 133 poz. 883.
/WyraŜam zgodę na przetwarzanie moich danych osobowych zawartych w ofercie dla potrzeb niezbędnych do realizacji
procesu rekrutacji (w rozumieniu ustawy z dn. 29 sierpnia 1997r. o ochronie danych osobowych, Dz.U.nr 133 poz.833).
Date: ……………………………
Signature: …………................................……
ENGLISH BEST WAY
WARSZAWA – LEGIONOWO – PRUSZKÓW – SOCHACZEW – WOŁOMIN – śYRARDÓW – GRODZISK MAZ.
www.englishbestway.pl