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Application Form for a Teaching Position at Gloria English School in Taiwan

　Applicant’s Personal Information
First Name：
Surname：
Sex：
Male Female
Date of Birth：
mm dd yyyy
Nationality：
Tel No.：
Fax No.：
E-Mail：
Address：
Education：
PHD Master Bachelor Associate Degree and TESOL Certificate
Photo：
(optional)

(image size:95*95pixel)
 
　Additional Questions:
　1.When will you be available for the position?
　2.Will you be able to sign a one-year-contract?
Yes No
　3.How would you describe yourself?
　4.Have you had any previous teaching experience? Where and for how long?
　5.Health Condition:
Are you under any long-term medical treatment? 　 Yes No
Have you ever been treated as a mental patient?　 Yes No
　6.Do you have any criminal records?
Yes No
　7.Please attach your resume.

Declaration
I confirm that the information provided by me in this application form and in the attached resume is true. I understand that in the event of my employment, if any information provided here by me is found to be false, my employment could be terminated immediately.

 
Address：22,Alley 17-14,Lane 66, Huan-Nan Rd.,Ping-Jen City , Taoyuan County , Taiwan | TEL : 886-3-495-1752 | FAX : 886-3-491-9873
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