APPLICATION FORM

I PERSONAL DETAILS
1. Full Name Diwya Diwangkara (Male / Female)
th
2. Date & Place of Birth Jakarta, 8 December 1994
3. Nationality Indonesian ID Card Number 3172010812940002
4. Religion Islam
5. Address as per ID Card PLUIT TIMUR BLOK L.TMR NO.26-27
6. Current Address Grand Parahyangan Estate, Cluster Hanjuang No.22, Jl.Tumenggung Wiradiredja, Cimahpar, Bogor
7. Phone No (Home) - (Mobile) 083811664356
8. E-mail Address diwya@apps.ipb.ac.id
9. Skype ID I don’t have Skype, I use Zoom
10. Marital Status Single Married Widow Widower
11. Number of Children 0
12. Please write where and how do you know about vacancy Jobstreet

II FORMAL EDUCATION
Education Level School’s Name Year Graduate Year Major In (GPA)
Primary Gandhi National School, 2001 2007
Ancol
Junior High School Gandhi National School, 2007 2010
Ancol
High School PKBM Ristek Nusantara 2012 2012

Academy - - - -

University Bogor Agricultural 2013 2018 3.47

University
Others - - - -

INFORMAL EDUCATION (COURSE – UPGRADING COURSE, ETC)

Course Name Organizer Place/Time & Period Diploma/Non Diploma
- - - -

- - - -

- - - -

FOREIGN LANGUAGE & DIALECT (GOOD – FAIR – BELOW STANDARD)

Language Reading Writing Communicating Comment
Good Good Good Good
English
Fair Below Standard Below Standard Fair
Mandarin

III OTHER PROFESSIONAL QUALIFICATION

1. Do you have other teacher training certificate?
- No.
2. Did you ever take any English proficiency test, such as: Cambridge exam/ IELTS/ TOEIC/ TOEFL (IBT or PBT)? If yes,
please write the score and the year it was taken.
- Yes TOEFL, The Score is 583 and was taken in 2018.
IV ENGLISH LANGUAGE TEACHING EXPERIENCES:

Date/ Name of Level and age Starting pay per hour/ Last pay per Reason Leaving
Month/ Year Institution group per month hour/per month
- - - - - -
- - - - - -
- - - - - -
- - - - - -

1. Describe in some details your preferred approach on teaching English as a foreign language.
-Introduce English through Beginner’s Guide Videos on YouTube
-Give daily worksheets and simple conversation practice in the daily meetings
-Have a weekly pop quizzes and monthly tests to assess the performance

2. When teaching you give hand-outs to the students. One of your student crumples the paper and put in the waste-paper
basket. Please write in details what would you do in that situation!
-I will tell the student that it is not a proper way to have this behavior and I will have a one on one discussion with this
student to help him/her understand the importance of having the hand-outs

3. Why do you think you would be suited to this job?

-I like to teach, I like to meet the students, I enjoy being around those in the age range of 4-14. I think I have a passion to
do this job especially if I have been given the chance to prove just that.

4. Do you have any prior Online tutoring / working experience? If so, please briefly describe to us the details:
-Unfortunately no but I’m sure I can learn this quickly. I do have experience using Zoom since the pandemic started so I
feel that I can implement my teachings through online with that even if I do not yet have the experience. As for general
working experience, I have 1 year experience in dealing with customers at an F&B private outlet.

5. Do you currently have the necessary equipment (laptop/PC, headphone, etc.) and appropriate environment (personal
space or room) to conduct an optimal Online teaching activity?
-Yes I do! I can guarantee this!

6. If you’re interacting with or teaching students via an Online video call, where interactions are limited in a virtual setting,
how would you try to engage more with them? What actions would you take?
-I will have different ideas to try when things go this way. I may crack jokes, tell a bit of my life story to motivate them,
play educational YouTube videos and being funny on the camera as some say I can be a comedian haha. I’m sure I will
think of something that will engage the students to have their courses with me and I’ll try my best to carry it out.

V OTHER PREVIOUS WORK EXPERIENCE

Name & Address of Held Dates Employed (from Last Salary Reason for Leaving
Company – to)
Co-Owner 2018-2020 Rp.3.000.00 Covid-19 Pandemic
Parahyangan DimSum 0
- - - -
-
- - - - -
VI FAMILY INFORMATION

1. You live in a house or apartment:

a. Of your Own b. Of your Parents c. Renting d. Boarding
2. Number of family members 4 persons
3 Family Composition (Wife – Husband – Children – Parents – Parents in law – Brothers/Sisters)

Name Family Relation Place & Date of Birth Job Address

Dwi Agviriloso Parent-Father Bogor, 19th August Businessman Grand
1964 Parahyangan Estate,
Cluster Hanjuang
No.22, Jl.Tumenggung
Wiradiredja, Cimahpar,
Bogor
Elly Halim Parent-Mother Medan, 10th July Housewife Grand
1970 Parahyangan Estate,
Cluster Hanjuang
No.22, Jl.Tumenggung
Wiradiredja, Cimahpar,
Bogor
Radyan Rahmananta Brother Jakarta, 23rd July High School Student Grand
2003 Parahyangan Estate,
Cluster Hanjuang
No.22, Jl.Tumenggung
Wiradiredja, Cimahpar,
Bogor
- - - - -

- - - - -

- - - - -

4. Medical Record

a. Do you have any allergies or illness you need to inform us of?

A. Yes B. No

If yes, please circle the options below:

a. Epilepsy g. Hemorrhoid/ Wasir m. Cancer related
b. Hypertension h. Cataract
c. Asthma/TBC i. Lymphoid/ Amandel n. Gastritir
d. Rheumatic related j. Kidney/ Ginjal o. Others: …………………………………..
e. Sinusitis k. Heart disease
f. Stroke l. Diabetes
b. Have you been hospitalized for any serious illness or injury?
A. Yes B. No
It yes please state nature of illness or injury and length of stay in hospital or recovery time:
Dengue Fever for 7 Days
VII OUR FRANCHISE
There are 10 EF schools in our franchise: EF Pluit, Tebet, Tanjung Duren, Puri, Cengkareng, BSD Tangerang, Gading Serpong ,
Tangerang City, Bogor Padjajaran, & Bogor Yasmin

1. Will you be able to be located in any of our EF schools? Yes

2. Please write 3 school locations that you prefer (based on your priority to be located by referring to the list above)
a. Bogor Padjajaran
b. Bogor Yasmin
c. EF Pluit

Apart from adult classes and in-company training, a lot of our students are young learner age 4-14 years old
3. Will you have a problem with teaching the above age range? No, I love being around children.

4. How do you like teaching the above range? I like it very much. I am eager to meet them.

5. Will that be a problem for you? None at all.

Most of the teaching hours are Monday/ Wednesday/ Friday:

1. 2:00 pm – 3:00 pm 2. 3:00 pm– 4:30pm 3. 4:30pm – 5:50pm 4. 6:00pm – 7:20pm
Tuesday/ Thursday:
2. 2:00 pm – 3:00 pm 2. 3:00 pm– 4:30pm 3. 4:30pm – 5:50pm 4. 6:00pm – 7:20pm

6. Your chances of getting hired will also depend on how available you are on the hours below :

a. Are you free to teach everyday (Monday to Friday) between 2:00pm – 9:00 pm? YES
b. Are you free to teach on Mon/ Wed/ Fri between 2:00pm – 9:00pm? YES
c. Are you free to teach on Tuesday and Thursday between 2:00pm – 9:00pm? YES
d. Are you free to teach on Saturday between 9:00am – 3:00pm? YES

7. Are you applying for?

a. Teaching Assistant b. Full time / Part-time teacher c. Whichever available
8. When is your earliest availability to start working? As Soon As Possible As I Got The Call.

9. If not, what length of time must you give? -

10. What is your pay expectation?

- Monthly: Rp. ………………3.000.000…………….. / month
- Hourly: Rp. ………………15.000……………….. / hour
VIII OTHER INFORMATION

1. Name of Reference (Work) :

Name Address & Phone No. Job

- - -

- - -

2. Emergency Contacts :

Name Address & Phone No Job

Elly Halim Grand Parahyangan Estate, Cluster Housewife
Hanjuang No.22, Jl.Tumenggung
Wiradiredja, Cimahpar, Bogor

081311222788

3. Name of employee you know already working with English First (N/A if not applicable) :

Name Address & Phone No Job

- - -

- - -

4. Driving license type : A Expiry date: 4th December 2024

5. Blood type : A B AB O

The information I have provided on this application form is accurate to the best of my knowledge.
I agree to accept responsibility for omission regarding my failure to disclose any relevant information.
Jakarta, 15th March 2021

(Diwya Diwangkara)

Please write your social media username:

Diwya Diwangkara

@Diwya
Diwya Diwangkara

Name of Recommendation :  
Name/Home Area
Phone
( ex. Rika/Cengkareng)
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Recommendation for
Education Background
( Teacher/Staff)
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