Application form: Teaching in the UK



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|Application Form for an International Teaching Placement 2020 |

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|Thank you for your interest in completing an international teaching placement. |

|For more information about this opportunity, see the following link: |

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|Please complete this application form in full. Email the completed form, along with your current résumé, to: |

|Dr. Jan Oakley, International Initiatives Coordinator, by November 15, 2019. Email: joakley@lakeheadu.ca |

|1. DECLARATION OF ELIGIBILTY |

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|___ I am applying for a 5-week teaching placement to take place March-May 2020. This placement will be my fourth and final placement in the BEd program. I intend to |

|graduate from the program in May 2020. |

|2. YOUR PERSONAL DETAILS |

|First Name: |Last Name: |Middle Name: |

|Lakehead Student Number: |Date of Birth |

| |(dd-mm-yy): |

|Passport # (if available): |Passport expiration date |

| |(dd-mm-yy): |

|Current Address: |

|Email Address: |Current Phone Number: |

|3. PLACEMENT LOCATION PREFERENCE |

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|There are five international teaching placement locations for the 2020 placements: |

|1. Malaysia 2. St. Maartin 3. London-UK 4. Scotland 5. Wales |

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|What is your FIRST CHOICE of placement location? |

|If applicable, what is your SECOND CHOICE? |

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|If you only wish to apply for one location, please indicate “not applicable” for the second choice. |

|Note that locations are subject to the availability of host schools, and there must be a minimum of two Lakehead BEd students completing an international placement in each |

|location. The maximum number at each location will be determined by the host school. |

|4. EDUCATIONAL BACKGROUND |

|What is your home campus? |What is your division in the program? |What are your teachable subjects (if applicable)? |

|___ Orillia |___ Primary/Junior | |

|___ Thunder Bay |___ Intermediate/Senior | |

|Who is your faculty advisor? Please include name and email address. |

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|5. PROFESSIONAL / ACADEMIC REFERENCE CONTACTS (2) |

|Name of First Reference: |Position/Title: |

|How do you know this person?: |

|Phone Number: |Email: |

|Name of Second Reference: |Position/Title: |

|How do you know this person?: |

|Phone Number: |Email: |

|6. MEDICAL INFORMATION |

|Do you have any specific medical issues that might affect your ability to travel? Please outline any pertinent medical information you would like us to know. |

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|7. OTHER INFORMATION |

|What are your reasons for wanting to participate in this experience? |

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|Do you have any experience working, travelling, or teaching internationally? If so, were you travelling solo, with friends and/or family, or as a group? Please explain |

|briefly. |

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|Are you interested in pursuing international teaching once you graduate from the BEd program? |

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|Résumé: Please email a copy of your current résumé to joakley@lakeheadu.ca |

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|___ A copy of my current résumé is included with this application. |

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|8. INTERVIEW AVAILABILITY |

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|Interviews will take place after November 15 via telephone (or, if you are in Thunder Bay, could be scheduled in person). Please indicate the times you will be available for|

|an interview (please check all that apply): |

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|___ Week of November 18 |

|____ Evenings |

|_____ On the weekend |

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|___ Week of November 25 |

|____ Evenings |

|_____ On the weekend |

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|___ Week of December 2 |

|____ Evenings |

|_____ On the weekend |

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|Number at which to contact you for a telephone interview? _______________________________ |

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|Please email your completed application form, and a copy of your résumé, to: |

|Dr. Jan Oakley, International Initiatives Coordinator. |

|Email: joakley@lakeheadu.ca |

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|You will receive confirmation that your form has been received and will be contacted to arrange a date and time for an interview. |

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