TEACHER APPLICATION FORM

GLOBAL TEACHERS SOLUTIONS,LLC.

Teacher Applicant Name
First(Given)Name:		*
Middle Name:
Last(Family)Name:		*
MaidenName(If Applicable):
Contact Information
Mailing Address(Please include city,country, and postal code):		*
Permanent Address (If different from Mailing Address):
Home Telephone (Please include country and city codes):		*
Work Telephone (Please include country and city codes):		*
Mobile Telephone (Please include country and city codes):		*
Email Address:
How frequently do you check your email? (Select one):	daily weekly monthly Never
Driving Record Information
Do you have a driver's license? (Select one):	Yes No	*
Issue Date of first driver's license (month/day/year)		*
How often do you drive? (Select one):	daily weekly monthly Less Than Monthly	*
In what type of environment do you most often drive?(Select one):	City Small Town Country	*
Classify Your Skills as a Driver(Select one):	Experienced - I feel comfortable driving in any country* Experienced - I feel comfortable driving in any country Knowledgeable,but Limited Experience - I can drive; however I need to get used to driving in a new country Inexperienced - I will required initial driving instruction and support Inexperienced - I will required initial driving instruction and support	*
Education
Please supply the following information about your post-secondary education,listing each degree as it is written on your diploma
1.Institution:
Degree:
Month/Year started:
Month/Year Completed:
Location (city/state/province and country):
2.Institution:
Degree:
Major (subject/concentration):
Month/Year started:
Month/Year Completed:
Location (city/state/province and country):
3.Institution:
Degree:
Major (subject/concentration):
Month/Year started:
Month/Year Completed:
Location (city/state/province and country):
4.Institution:
Degree:
Major (subject/concentration):
Month/Year started:
Month/Year Completed:
Location (city/state/province and country):
5.Institution:
Degree:
Major (subject/concentration):
Month/Year started:
Month/Year Completed:
Location (city/state/province and country):
Do you have a foreign credentials report? (Select one):	Yes No	*
Do you hold a teaching license/certificate/registration in your own country? (Select one):	Yes No	*
If yes, please indicate in what subject areas:
Please indicate any Special Training,Leadership Roles,Professional Awards(Special Recognitions), and/or Professional Memberships:
Please list any extra-curricular activities you may have sponsored:
Have you previously participated in this program?(Select one):	Yes No	*
If yes,please indicate:	From (month/year): To(month/year):
Please enter the state(s) and school system(s) where you taught under this program :
Have you ever had a teaching license suspended or revoked?(Select one):	Yes No	*
If yes,please explain:
Have you ever been convicted of a crime or do you currently have criminal charges pending? (Select one):	Yes No	*
If yes,please explain:
What language(s) do you speak fluently?
What is/are your native language(s)?