| All fields marked with an asterisk * are required. |
| First Name: |
* |
| Last Name: |
* |
| Title: |
|
| Email: |
* |
| Gender: |
* |
| Nationality: |
* |
| Current School: |
* |
| Country: |
* |
| Is your school an ECIS member? |
* |
| # years in teaching: |
* |
| # years in international schools: |
* |
| Subject(s) taught: |
* |
| Grade/Year Level: |
* |
| Job Title: |
* |
| School Mailing Address: |
* |
| Please include international dialling code |
| Telephone: |
* |
| Mobile/cell phone: |
|
| |
| Which institute are you applying for? |
|
* |
| Who will fund your participation? |
* |
|
| |
|
|
|
Qualifications
Please give details of any degree(s) and other professional qualification. Begin with your most recent qualifications. |
|
| |
Career History
Please give details of your teaching career and other relevant experience. Begin with your most recent position. |
|
| |
|
| Please give details of two referees including contactable email addresses. Referee 1 must be your current head of school or divisional principal. |
| |
| Referee 1 |
| Name: |
* |
|
| Job Title: |
* |
|
| School: |
* |
|
| Country: |
* |
|
| Email: |
* |
|
| Is this you school head/divisional principal? |
* |
|
|
| Referee 2 |
| Name: |
* |
|
| Job Title: |
* |
|
| School: |
* |
|
| Country: |
* |
|
| Email: |
* |
|
| |
|
|
|
Continuing Professional Development
Please give details of the main aspects of your continuing professional development during the last two years. How have you used your continuing professional development to improve your practice in an international context?
Please be concise (400 - 500 words). IT IS RECOMMENDED THAT YOU WRITE AND SAVE THIS TEXT IN WORDPAD OR OTHER TEXT EDITOR AND TO COPY AND PASTE HERE BEFORE SUBMITTING IN CASE OF ANY UNFORESEEN CONNECTION ERROR. |
|
* |
| |
Why do you want to participate in the ECIS International Teacher Certificate Program?
Please explain
- your rationale for wanting to participate in the ITC
- how the ITC can improve your teaching and learning in an international context
Please be concise (400 - 500 words). IT IS RECOMMENDED THAT YOU WRITE AND SAVE THIS TEXT IN WORDPAD OR OTHER TEXT EDITOR AND TO COPY AND PASTE HERE BEFORE SUBMITTING IN CASE OF ANY UNFORESEEN CONNECTION ERROR. |
|
* |
| |
| Have you read and accepted the terms of the Teacher Application Agreement? |
* |
| |
How did you hear
about the ITC? |
|
* |
| Please specify here: |
|
|
| |
If you give any information which you know is untrue or if you withhold any relevant information, this may lead to your application being rejected or, if you have already been accepted, to your withdrawal from the pilot program and/or loss of certification.
Please complete all the relevant fields in this form before submitting it.
If you have any problems, please contact helpdesk@ecis.org
Fields marked with an asterisk * are required fields. |
|
UK Data Protection Act 1998
The European Council of International Schools will process the information collected in this form for the purpose of assessing teachers' applications to participate in a program for the ECIS International Teacher Certificate. This information will only be used by ECIS and its partner institutions in the program. |
|
|
|
