Surname(s) * First Name(s) * Nationality / Nationalities * Year of Birth * Phone Number * E-mail * Permanent Address * Current Address (if different) Have you got a Spanish Residency Permit (NIE/TIE)? * Yes No Have you got a Spanish Social Security Number? * Yes No
Part 2: Education & Qualifications (most recent qualification first) Institution * Course * Start & Finish Dates * Qualification / Mark * Institution Course Start & Finish Dates Qualification / Mark Institution Course Start & Finish Dates Qualification / Mark Institution Course Start & Finish Dates Qualification / Mark
Part 3: Languages (including English) Language 1 * English Level * Mother Tongue C2 C1 B2 B1 A2 A1 Pre-A1 Language 2 Spanish Level Mother Tongue C2 C1 B2 B1 A2 A1 Pre-A1 Language 3 Level Mother Tongue C2 C1 B2 B1 A2 A1 Pre-A1
Part 4: Employment Experience (most recent employment first) Employer & Location Job Title Start & Finish Dates Reason for Leaving Employer & Location Job Title Start & Finish Dates Reason for Leaving Employer & Location Job Title Start & Finish Dates Reason for Leaving Employer & Location Job Title Start & Finish Dates Reason for Leaving
Part 5: Experience Preparing Exams
Do you have experience teaching students preparing for the following exams?
Key English Test (KET) * Yes No Preliminary English Test (PET) * Yes No First Certificate in English (FCE) * Yes No Certificate in Advanced English Test (CAE) * Yes No Certificate of Proficiency in English (CPE) * Yes No Trinity College London Stars Awards * Yes No Trinity College London GESE Exams * Yes No Trinity College London ISE Exams * Yes No
Part 6: Statement in Support of Application
(a cover letter is not required)
Part 7: References
Give the names, status and contact details of two refereees (preferably including your current or most recent employer). References will be sought for candidates short-listed after interviews, and previous employers may be contacted to verify particular experience or contacts.
Name: * Occupation * E-mail address * Tel. No. * Name: * Occupation * E-mail address * Tel. No. *
Part 8: Employment Checks
As this post involves working directly with children and young people, you are required to declare whether you have any criminal convictions (or cautions or bind-overs) including those which are ‘spent’. It is a criminal offence to apply for or accept a position working with children if you are excluded from such work by virtue of a court order exclusion by the British Department for Education and Skills (DfES) or the British Department of Health (DoH) or their equivalents in other countries.
Have you ever been convicted of any criminal offences or been officially cautioned, warned or reprimanded in relation to any such offence? Yes No Are you included in any list of people barred from working with children by the British Department for Education and Skills (DfES) or the Department of Health (DoH) or the General Teaching Council or their equivalents in other countries? Yes No Are you in good health? Yes No
If you have chosen ‘
no‘ for the above question, please indicate any health issues that we should know about (e.g. epilepsy) Health Issues
I understand that if I am appointed, personal information about me will be computerised for personnel / employee administrative purposes in accordance with Spanish data protection legislation. This may include analysis for management purposes and statutory returns.
In completing and submitting this form, I give my authority for use of my personal data for these purposes.
I hereby authorise Academia Blue Door S.L. to include the details given by me in this job application form in a database called
Curriculums which is in the sole possession of Academia Blue Door. I understand that I have the right to see, cancel, or amend the said details, and that to do so I must inform Academia Blue Door S.L. in writing at the following address: firstname.lastname@example.org. Yes No
I hereby confirm that all the information I have given in this form is true.
I understand that, should any of the particulars I provide in this application be found to be false within my knowledge, or should there be any wilful omission of material fact, this may be reported to the relevant authorities, as well as lead to my application being rejected or the contract being null and void if I have already been appointed.
Yes No Signature (type your name) * Date: *