Global Child - Education K-12

Global Child Teacher/Tutor Application Form

Name:

Address:

City:

State:

Zip:

Country:

Phones:

Home:

Cell:

Business:

E-mail:

Country of Birth:

Languages:

I learned about Global Child from:

Global Child teacher:

Other (specify):

Social Security:

/ /

Degrees with majors and minors:

Teaching experience (any age, any subject):

Experience with children ages 3-12 (coaching, volunteering, parenting, etc.):

Do you like to sing?		yes no
Are you a U.S. citizen?		yes no
If you are not a U.S. citizen, do you have a work permit? (Required)		yes no
Have you ever been convicted of a felony or have any pending cases?		yes no

Special skills (drawing, acting, playing a musical instrument, etc.):

When you would be available:

September-June

M T W Th F

before school (7:30-9:00 A.M.)

after school (2:20-4:50 P.M.)

11:45 A.M.-1:00 P.M. for Midday classes

Towns you prefer (rank your top 5 choices, 1 being the first choice):

Local References:

Name:

Relationship:

Phones:

Business

Home

E-mail:

Name:

Relationship:

Phone:

Business

Home

E-mail:

Please write a paragraph about why you want to teach a world language to young children:


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