Tutoring in Spain | Application Form

Any special diet?*

YesNo
If YES, please explain
Do you smoke?*

YesNo
If YES, how many daily?
If you do smoke would you accept NOT to smoke in the house or in front of the children?

YesNo
Your religion
Practising?

YesNoOn special occassions

Educational Background
Attended school/College
School/College name / How many years? / Type of graduation
Attended school/College
School/College name / How many years? / Type of graduation
Attended school/College
School/College name / How many years? / Type of graduation
Your current occupation
If you are currently employed what is your profession
Current employer, company and position, if any

Childcare / Tutoring Experience
Please, indicate the age groups you have experience with*

2-5 years5-10 yearsOlder than 10
Do you have experience with children with special needs or handicapped?*

YesNo
If yes, please explain
Any further information that would assist a family in deciding to invite you
Please, list details of your childcare/tutoring experience
Name & Age of children/Type of childcare/Start/end (Aprox. dates)Frequency (How often?)/Activities

In case of emergencies, please call
Contact 1
Full Name*
Mobile Number*

Country CodePhone Number
Relationship to you*
Contact 2
Full Name*
Mobile Number*

Country CodePhone Number
Relationship to you*
Would you like Club RCI to book a Spanish course in Madrid for you?*

YesNo
If yes, how many weeks?
Health & Travel Insurance
Non-EU citizens (compulsory)

Private health and accident insurance is COMPULSORY for Non-EU citizens. We provide you a special flat rate of 20€/week with Guard me (multirisk).

CHECK CONDITIONS HERE
How many weeks?*
EU citizens (optional)

We recommend EU citizens to get private insurance. We could provide you a multirisk Guard Me at a flat rate of 13€/week. Would you like us to get you
insurance to cover your stay in Spain?

CHECK CONDITIONS HERE
Would you like to get an insurance quote from us to cover your stay in Spain?*

YesNo
If yes, how many weeks?

Declaración | Disclaimer
Confirmo que la información dada es veraz y estoy de acuerdo con las condiciones del programa Tutor de Club RCI, de las cuales he sido debidamente informado para participar en el programa.

I herewith confirm the given information is true to the best of my knowledge and I agree with the terms of business of Club RCI; I´ve been properly informed about the conditions to join the Tutoring in Spain programme.

By submitting this form you are agreeing to our privacy policy.
Full Name*

NameSurname
Passport/ID Number*
Signature*
Date
Where have you heard from Club RCI?*

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