application

Before applying, please ensure that you have read through the information provided inthis web page.
* If you feel that working with MediaKids Academy might be the opportunity that you have been looking for, please fill the form below.

APPLICATION FORM FOR A TEACHING POSITION

PERSONAL INFORMATION
Last Name	*	First Name	*
Date of Birth	*	Location of Birth	*
Current Address	*
Email Address	*
Current Telephone (H)		(M)

EDUCATIONAL BACKGROUNDS

Level	Institution(s)	Degree(s)	Major(s)	Year of Completion
Bachelor *
Master
Doctoral

EMPLOYMENT BACKGROUNDS

Name of Employers	Positions	Work From - To	Reason for Leaving

CERTIFICATION

Please circle the certification you hold :

TEFL TESOL CELTA

Any other certifications you hold ?

TEACHING

Which part of Thailand would you like to teach ? *

Note : We do our best to place you where you request, however, spaces are often limited and you may be placed in another location.

Which educational level would you like to teach ? Primary Secondary

Why would you like to teach in Thailand ?

What inspired you to become a teacher ?

REFERENCES

Please list three individuals to serve as your references. Please include their phone number and address :

I understand that the information given in this application is complete and accurate to the best of my knowledge.
I understand that submission of false information may result in the denial of my application.

Signature

Date

Note : You can just type the letters of your name in the signature space. No need to scan your real signature.

Along with this application form, please include the following :

Please list three individuals to serve as your references. Please include their phone number and address :

1. Your full resume
2. A copy of your passport photo page
3. Copies of your degrees/diplomas
4. A copy of any TEFL/TESOL/CELTA certificate, if any
5. Current photograph
6. A criminal clearance certificate from your country of origin (can be submitted later)