Recruitment Services - Pro English Jalan Mesjid 1 no. 2, Depok 16514 Tel: 021-32772221 Email: info.proenglish@yahoo.com Web: proenglishweb.com Please complete this form in blue (readable handwriting only) ABOUT YOU Full name: Present address and contact telephone number:
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.................................. Cell Phone: ........................................ Email address: Permanent address (if different from above):
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.................................. Cell Phone: ........................................ Place of Birth
Marital Status
Date of Birth
Children
Religion
What valid driving license do you hold? Name, address and telephone number of a permanent contact in case of emergency while you are on duties:
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.................................. Cell Phone: ........................................ EDUCATION AND PROFESSIONAL QUALIFICATIONS Last school attended:
Grad Year:
High school department:
College or University:
Grad Year:
Degrees & latest GPA:
Other Education Qualifications:
Application Form 2010 – Pro English (web: proenglishweb.com)
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English Course taken (please indicate level):
...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... Describe in some detail your views on teaching English as a foreign language:
...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... PREVIOUS EMPLOYMENT Employer:
Month and year:
Position held:
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YOU AND YOUR INTERESTS Interests (indicate where relevant whether your interest is active or passive, e.g. an interest in “food” could be that of a visitor to exotic restaurants or that of an amateur cook):
...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... Describe yourself in the words of a fair but not very friendly critic:
...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... High school & college organization (please indicate the position):
...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... Please sign below I, .........................................................(FULL NAME OF SIGNATORY IN BLOCK LETTERS) declare that the information given above is true and complete, that I am in good health, and I am willing to follow the recruitment selection process with full responsibility.
Signed:
Date:
Application Form 2010 – Pro English (web: proenglishweb.com)
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