Teaching Bilingual Learners - Application Form

Full name *

First name Middle name Last name

E-mail *

example@example.com

Date of Birth *

ID Number *

CPF Number *

Mobile Number *

Area Code Number

Telephone Number *

Area Code Number

Address *

Street Address

Number and complement

City State / Province

Zip Code

Where do you teach?

What subject do you teach?

What is your present position?

What age range(s) do you teach?

Kindergarten (3 to 6 year-olds) Very Young Learners (7 - 10 year olds) Middle Schoolers (11 - 14 year-olds) High Schoolers (15 - 17 year-olds) Young Adults and/or adults

Level of proficiency:

Have you got an international English certificate? *

Yes No

If so, which one? *

B2 First (FCE) C1 Advanced (CAE) C2 Proficiency (CPE) ECCE ECPE IELTS TOEFL

Please identify the statements that are true of your professional experience in 2021.

I am a full time teacher employed in an educational institution such as a school, college, university, or adult training centre. I am a part time teacher employed in an educational institution such as a school, college, university, or adult training centre. I have been teaching in my current school for over a full academic year, for a minimum of 24 weeks and a minimum of six hours per week. I teach at least one group with a minimum of six learners. I am responsible for planning, teaching and formatively assessing my groups of learners I understand that this certification will demand around 6 weekly hours of my availability. I can count on a reliable internet connection, with a laptop or a desktop computer, a camera and a microphone, which is capable of accessing video conferencing and other online materials and tools. I understand that an appropriate bandwidth connection would be of, at least, 10Mbps upload and 20Mpbs download for a full range of teaching and learning opportunities. I will be able to record at least three of my lessons during this course and upload them to YouTube as unlisted videos, in order to protect my students' identity and image use.

How did you hear about us? *

I am a former SPOC student. Google search Cambridge International website Social media Word of mouth I have been referred to by a friend or a mentor.

Personal Information

Professional Information

Last but not least