Aston Language School Application Form

Applicant Information
Applicant Name Click here to enter text.
Home Phone Click here to enter text.
Other Contact Click here to enter text.
Email Address Click here to enter text.
Skype Name Click here to enter text.

Address (permanent home)

Number and Street Click here to enter text.
City Click here to enter text.
State/Province Click here to enter text.
ZIP / Postal Code Click here to enter text.
Country Click here to enter text.

Address (current postal – if as above leave blank)

Number and Street Click here to enter text.
City Click here to enter text.
State/Province Click here to enter text.
ZIP / Postal Code Click here to enter text.
Country Click here to enter text.

D.O.B. Click here to enter a date.

Marital status: Choose an item.

Nationality Click here to enter text.

Position or Program
Position or program applying for: Choose an item.

Which term are you interested in joining? (See attached term dates)

In which year would you like to begin? Choose an item.

If offered a place, are you able to participate for the whole term? Choose an item.

If no, please give details of your preferred start and end dates

Click here to enter a date. Click here to enter a date.

Are you willing to participate in activities on weekends? Choose an item.

Are you willing to participate in activities in the evening? Choose an item.

What is your main reason for wanting to participate? Choose an item.

Education, Training and Experience
High School:
School name: Click here to enter text.
School address: Click here to enter text.
School city, state, zip: Click here to enter text.

Number of years completed: Click here to enter text.

Did you graduate? Choose an item.
Degree / diploma earned: Click here to enter text.

College / University:
School name: Click here to enter text.
School address: Click here to enter text.
School city, state, zip: Click here to enter text.

Number of years completed: Click here to enter text.

Did you graduate? Choose an item.
Degree / diploma earned:

Do you possess a TEFL or equivalent certificate? Choose an item.

If yes, give details: Click here to enter text.

Please describe any experience you have working with children Click here to enter text.

Please give brief details of your last 3 jobs (include employer, duties and dates)

Job1 Click here to enter text. Click here to enter a date. Click here to enter a date.

Job2 Click here to enter text. Click here to enter a date. Click here to enter a date.

Job3 Click here to enter text. Click here to enter a date. Click here to enter a date.

Please give details of any volunteer work you have been involved in

Click here to enter text.

Please give details of any employment or character referees you would like to include

Click here to enter text.

Click here to enter text.

Click here to enter text.

Personal Information

Have you ever applied to / worked for Aston before? Choose an item.
If yes, please explain (include dates) Click here to enter a date.

If offered a place, would you be able to present a scan or good photograph of your passport for
identification and visa application purposes? Choose an item.

Have you ever been convicted of a criminal offence? Choose an item.

If yes, please give details Click here to enter text.

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal
offense. The date of the offense, the nature of the offense, including any significant details that affect
the description of the event, and the surrounding circumstances and the relevance of the offense to the
position(s) applied for may, however, be considered.)

Do you have any chronic or existing illnesses? Choose an item.

Do you have any allergies? Choose an item.

Have you had any inoculations for travel purposes? Choose an item.

If yes, please give details including dates Click here to enter text.

Do you take regular medication? Choose an item.

Do you have any special dietary requirements? Choose an item.

If yes, please give details Click here to enter text.

Have you ever been refused a visa for China? Choose an item.

If yes, please give details Click here to enter text.

How did you hear about our organisation? Choose an item.

Term Dates
Spring Term 2018 (Exact Dates to be Decided)
Autumn Term 2017/8
Airport pick-up 22 or 23 February
Airport pick-up 30 or 31 August
Training and orientation 24 February to 2 March
Training and orientation 1-8 September
First day of term 10 March
First day or term 9 September
Last day of term 24 June
Last day of term 14 January 2018

Summer 2018 (Exact Dates to be Decided)
Airport pick-up 27 or 28 June
Training and orientation 29 June to 6 July
First day of term 14 July
Last day of term 28 August
Autumn Term 2018 (Exact Dates to be Decided)
Airport pick-up 1 or 2 September
Training and orientation 3-15 September
First day of term 15 September
Last day of term 13 January 2018