.lease return the c% pleted f%r t%gether with a c%p) %f )%ur CV and certificates t%E 0e'ruitment1 % -!

1 2 Cel#ri$ge Me)s1 on$on1 &3 4E-5 Fa67 899 3: ;;<3 2;=; %lease 'om"lete A se'tions of this form5

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Full Name Title (Miss/Ms/Mrs/Mr) Date of Birth Nationality/Mother-tongue CONTACT DETAI ! Tele"hone Num#er Mo#ile Num#er Email A$$ress %ermanent A$$ress Street Cit) C%untr) .%stc%de /ates f%r C%rresp%ndence

Stephen Checkland Mr 18/03/47 British/ English difficult while in Vietna ! please use e ail"# risingtide$%%ks&g ail#c% '1 (%hn Street Cellard)ke *nstruther +ife ,-10 3B* +r% 0st (une t% 31st *ugust 1011

%O!ITION &hi'h "osition are you a""lying for( 2please tick3 4%n56esidential 7eacher 6esidential 7eacher &here )oul$ you li*e to )or* 28ist in %rder %f preference and %nl) list centres where )%u are genuinel) prepared t% w%rk03 &ill you nee$ a''ommo$ation in any 'entre( &hen are you a+aila#le to )or* for us ,a+e you )or*e$ for % -! #efore( 2.lease state when! where and what p%siti%n3 .-A IFICATION! AND E/%E0IENCE +irst degree %r e;ui<alent 2title/)ear3 =ualified teacher status 2n/a %r gi<e details3 7E+8 Certificate =ualificati%n 2pr%<ider/)ear3 a3 @%w an) h%urs was )%ur c%urse: 240/?0/110 h%urs3 $3 /id )%ur c%urse include ? h%urs %f %$ser<ed teaching: 7E+8 /ipl% a 2eg# /E87*3 2pr%<ider/)ear3 .lease pr%<ide us with further inf%r ati%n %n an) pr%fessi%nal training undertaken rele<ant t% this p%st# Af gained in a c%untr) %ther than the B, please indicate at what le<el C e#g# *5le<el e;ui<alent# .lease enti%n an) 4*6AC e;ui<alence# 1# St *ndrews 1# 3# -es 4% 9hich centre2s3: +r% (ul) 1011 till *ugust t% -es! an) ti es at St *ndrews! including as *ssistant C%urse /irect%r"##

BEd full) ;ualified sec%ndar) sch%%l teacher )es# Basil .aters%n C%llege Edin$urgh! 1>>? ? weeks full ti e -es 4% 4%t )et 7he %st i p%rtant training AD<e d%ne recentl) is while AD<e $een teaching at A8* Vietna in Saig%n 2the last tw% )ears3# Man) and <aried w%rksh%ps#

-ears %f 2full5ti e e;ui<alent3 7E+8 eFperience

1 )ears A8* Vietna

A""li'ant>s Name7???????!te"hen Che'*lan$?????????????????????????????????????????????????????????? !@I ! AND INTE0E!T! /% )%u ha<e a <alid +irst *id certificate: /% )%u ha<e an) %ther skills )%u think a) $e useful f%r su er sch%%l:

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*ll s%rts %f teaching and anage ent skills ac;uired %<er an) )ears %f teaching 2$%th E87 and Sec%ndar) Sch%%l3 in <ari%us parts %f the w%rld#

0EFE0ENCE! A %lease su""ly B referees> 'onta't $etails5 &e a''e"t "re+ious em"loyment referen'es #ut not "ersonal ones5 (A'a$emi' referees are a''e"ta#le only for those )ithout B "re+ious em"loyers) Name7 0a'hel Agne) %osition7 A'a$emi' Manager at I A Cietnam at ,CMI Com"any7 Tel7 I A Cietnam Email7 ra'helDila+ietnam5'om Name7 Com"any7 Email7 Name7 Com"any7 Email7 %osition7 Tel7 %osition7 Tel7

A""li'ant>s Name7??????!te"hen Che'*lan$????????????????????????????????????????????????????????????????

IM%O0TANT INFO0MATION ,ACE EO- ECE0 BEEN CONCICTED OF A C0IMINA OFFENCE(

An c% pliance with 7he .r%tecti%n %f Children *ct 1>>>! applicants are ad<ised that p%lice checks a) $e carried %ut t% ensure suita$ilit) t% w%rk with children# .lease n%te that pe%ple e pl%)ed t% w%rk with children %r )%ung pe%ple are n%t c%<ered $) the 6eha$ilitati%n %f Gffenders *ct 1>74 and are re;uired t% declare all c%n<icti%ns! spent %r %therwise# Af )%u ha<e answered )es! please add a $rief n%te %f eFplanati%n#

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DO EO- ,ACE A CA ID EN,ANCED C0B DI!C O!-0E CE0TIFICATE(

.lease n%te that )%u a) $e re;uired t% %$tain %ne pri%r t% c% encing e pl%) ent DO EO- ,O D A CA ID &O0@ %E0MIT( 24%n EB applicants %nl)3 .lease n%te that we are 4G7 a$le t% %$tain per its f%r applicants f%r te p%rar) p%sts#

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,ACE EO- INC -DED CO%IE! OF EO-0 .-A IFICATION! &IT, T,I! A%% ICATION( .lease n%te that an %ffer %f e pl%) ent is dependent %n recei<ing these!
and %n seeing the %riginals $ef%re c% ence ent %f p%st! in acc%rdance with industr) standard rec% endati%ns# Af )%u cann%t include c%pies at present! please state wh)! and when these will $e a<aila$le#

DO EO- ,ACE ANE MEDICA CONDITION! T,AT &E !,O- D @NO& ABO-T( Af )es! please gi<e details %n a separate sheet# +%r )%ur %wn safet)! it is
particularl) i p%rtant f%r us t% kn%w if )%u are dia$etic %r epileptic#

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DO EO- ,ACE ACCE!! TO A -@ BAN@ ACCO-NT(

.8BS pa)s its teachers $) eans %f a che;ue in .%unds Sterling# Af )%u d% n%t ha<e a B, $ank acc%unt )%u will need t% ha<e s% e%ne t% wh% )%ur che;ue can $e paid %n )%ur $ehalf# 9e 9A88 4G7 pa) )%u in cash! %r issue a H.a) CashD che;ue! f%r securit) reas%ns#

,O& DID EO- ,EA0 ABO-T -!( %lease ti'* a""ro"riate #o6 CE TA/Trinity %ro+i$er ("lease gi+e name of institution) FFFFFFFFFFFFFFFFFFFFF5 E! Base Gumtree (name of Gumtree site- eg Gumtree Bath) FFFFFFFFFFFFFFFFFFFFF5 Ho# Centre o'al %ress ?????????????????????????????????????????(name) National %ress??????????????????????????????????????? (name) % -! &e#site 0e'ommen$ation from ???????????????????????????????????? 0eturning Tea'her TEF 5'om 39/; 0e'ruit/TEF Ho#s5'om Any)or* Any)here -ni+ersity Careers !er+i'e ("lease gi+e name of -ni+ersity) FFFFFFFFFFFFFFFFFFFFF55 Other ("lease gi+e $etails) FFFFFFFFFFFFFFFFFFFFF55

!ignature7 ??????????!te"hen Che'*lan$??????????????? ?=I??/?:=??/???3:==??

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