APPLICATION FOR REGISTRATION TEACHING WITH AMES
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- Phebe Cross
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1 1 PERSONAL DETAILS APPLICATION FOR REGISTRATION TEACHING WITH AMES Surname: Names: Address: Postcode: Telephone: Mobile: 2 QUALIFICATIONS Name of Teaching Qualification (which includes TESOL methodology as a major strand) Institution Year Awarded OR Name of Degree Institution Year Awarded AND Name of TESOL Qualification Institution Year Awarded For Teachers with TESOL qualifications, please specify: TESOL METHOD: Name of Subjects(s) Number of Hours Study TESOL SUPERVISED PRACTICUM: Name of Schools/Classes Undertaken Length of Practicum (Hours) PLEASE ATTACH CERTIFIED PROOF OF QUALIFICATIONS OBTAINED Page 1 of 5 Uncontrolled copy when printed - do not alter this form D2/1, Form 7
2 3 OTHER CERTIFICATES/TRAINING/MEMBERSHIPS eg First Aid Training, Workplace Assessor Training, Computer Packages 4 RECENT EMPLOYMENT HISTORY Name of Employer Position Held Years Reason for Leaving e.g. SUNBURY H.S. Teacher - English/French Resigned to travel 5 OTHER EXPERIENCE/ADDITIONAL INFORMATION 6 REFEREES Please list two professional referees who can comment on your work. The referees should include at least one recent manager: Referee 1 Name Contact Address Contact Telephone No Position Professional Relationship Referee 2 Name Contact Address Contact Telephone No Position Professional Relationship Page 2 of 5 Uncontrolled copy when printed - do not alter this form D2/1, Form 7
3 7 RELATED EXPERIENCE TEACHING SECTOR Years of Experience Please specify dates of Primary Secondary TAFE University Industry Consulting COURSES DELIVERED CSWE 1 CSWE 2 CSWE 3 CSWE 4 High Oracy/low literacy Pre-literacy Literacy Numeracy/maths ILC CGEA Computing LOTE VET Child Care Aged Care Retail Office Skills Hospitality IT Community/Health Food OTHER EXPERIENCE Curriculum Leadership ISLPR Assessment Workplace Assessor Trained Language Assessor Educational Placements Industry Placement Materials Development Research Educational Computing Trained Torture & Trauma Support role Change Management Trainer Frontline management trainer Cross Cultural Trainer Train the Trainer ELICOS EXPERIENCE EAP Page 3 of 5 Uncontrolled copy when printed - do not alter this form D2/1, Form 7
4 SECTOR Years of Experience Please specify dates of Business English Information Technology IELTS Hospitality and Tourism General English Secondary Preparation IELTS Assessor Overseas Experience (specify countries and duration) INDUSTRY EXPERIENCE SECTOR Years of Experience Please specify dates of Retail Sales Buying Management Hospitality Sales Service Management Office/Administration Manufacturing Community/Health Services Personal Care Nursing Occupational Therapy Computers Childcare Small Business LANGUAGES TEACHING YOUTH All personal information collected, used or disclosed by AMES is confidential and is protected by the Privacy Act 1988, the Information Privacy Act 2000 (Vic) and other legislation. A full copy of the AMES Privacy Policy is available upon request. Page 4 of 5 Uncontrolled copy when printed - do not alter this form D2.1, Form 7
5 8 AVAILABILITY I am prepared to work on the following days and times and in the following areas: Times Day Morning Afternoon Evening Monday Tuesday Wednesday Thursday Friday Saturday Location Central/East Available West Available South Available CBD Footscray Dandenong Box Hill St Albans Noble Park Werribee Springvale Oakleigh Type of Work Sessional Teaching Emergency Relief Teaching Both I hereby apply for placement on the AMES Register of Sessional and Emergency Teachers. I accept that the conditions for registration are completing the form accurately and preparedness to be available for interview(s) as necessary. I understand that placement on the Register is at the discretion of AMES and that AMES does not have any obligation to provide me with employment offers. Sessional and Emergency Teachers working for AMES are employed by pursuant to the terms and conditions outlined in the Adult Multicultural Education Services Certified Agreement Signed Date PLEASE SEND THIS COMPLETED APPLICATION FORM AND ALL RELATED DOCUMENTS TO: AMES Human Resources GPO BOX 4381 MELBOURNE VIC 3001 All personal information collected, used or disclosed by AMES is confidential and is protected by the Privacy Act 1988, the Information Privacy Act 2000 (Vic) and other legislation. A full copy of the AMES Privacy Policy is available upon request. Page 5 of 5 Uncontrolled copy when printed - do not alter this form D2.1, Form 7
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