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1. PERSONAL DETAILS
	Title:* -- Mr Mrs Miss Ms
	First Name(s):*	Surname:*
	Date of birth:* -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / -- January February March April May June July August September October November December / -- 85 84 83 82 81 80 79 78 77 76 75 74 73 72 71 70 69 68 67 66 65 64 63 62 61 60 59 58 57 56 55 54 53 52 51 50 49 48 47 46 45 44 43 42
	Nationality:* Please select USA Canada UK Australia NZ South Africa Other	Other nationality:
	Passport number:*	Expiry date:*
	Marital Status:* Please select Single Couple Married Divorced Separated Widowed
	Your current location:* Available from:* Contact information
	Contact Email:*	Contact phone:*

2. QUALIFICATIONS *
	Education A level/High School BA BSc MA MSc PhD BEd PGCE Other (please specify)
	Title of degree	Year of Graduation/Award
	TEFL Qualifications NB If you are currently taking a CELTA/TESOL course then please tick that option.
	None RSA CELTA Trinity TESOL RELSA Dip TEFL/TESOL MA TEFL/TESOL Other (please specify)
	Awarding institution	Date of Completion (month/year)

3. EFL TEACHING EXPERIENCE *
	Length of experience:*   Please select Yet to qualify Newly qualified Less than 9 months 9 months - 1 year 1 year - 2 year 2 years +
	Levels Beginner Elementary Pre-Intermediate Intermediate Upper-Intermediate Advanced
	Business English Yes    Some Little Lots No
	EFL/ESL coursebooks used
	Ages Children Teenagers Adults

4. PROFESSIONAL BACKGROUNDS
	Have you had a good supply of teaching resources where you have been teaching? Yes      No
	Has anyone ever observed you teaching EFL/ESL?*
	Yes How often?	No Why?
	What’s the hardest to teach?
	What do you like most/least in teaching?

5. MISCELLANEOUS
	Languages spoken What is your native language?*
	Do you speak Russian? Yes     Level: No Other languages:
	Why Russia? * Language         Culture Other
		What do you know about current situation in Russia?
		What are your expectations of teaching English in Russia?
	Ability to cope with solitude and loneliness? Yes No Why?
	Lived overseas or in difficult situations? Yes No Where?
	Most people share accommodation, please choose what flatmate you prefer Male     Female     No strong preference     Smoker     Non-smoker     No strong preference
	Any other preferences
	Pre-Existing Medical Condition * Yes No Specify
	Do you have any allergies?
	If yes, could you please specify which one

NB Please note that any pre-existing medical condition is not covered by Lingua.ru.

HOW DID YOU HEAR OF Lingua.ru? *
	TEFL/TESOL training centres	Name:
	Web Search	Details:
	Website	Address:
	EL Gazette	Date of issue:
	Word of mouth	Details:
	Other	Specify: