APPLICATION FORM SRI LANKA TEACHING
(Pricing in Pounds Sterling, US Dollars and Euros)
Please tick where applicable :
FINANCIAL DETAILS
|
Total |
1 Month |
GBP 390 (USD 650; EUR 450) |
|
|
6 Weeks 2 Months |
GBP 490 (USD 800; EUR 560) GBP 590 (USD 950; EUR 680) |
|
|
3 Months |
GBP 690 (USD 1150; EUR 790) |
|
|
|
|
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Deposit: |
GBP 50 (USD 80;EUR 60) |
|
|
|
|
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Balance: |
1 Month |
GBP 340 (USD 530; EUR 390) |
|
|
6 Weeks 2 Months |
GBP 440 (USD 720; EUR 500) GBP 540 (USD 870; EUR 620) |
|
|
3 Months |
GBP 640 (USD 1070; EUR 730) |
TRAVEL DETAILS
Preferred start date
Preferred return date
.
PERSONAL DETAILS
MALE/FEMALE delete as applicable
SURNAME
.
FORENAMES
.
ADDRESS (HOME)
.
..
TELEPHONE
.MOBILE
ADDRESS (TERM)
..
..
TELEPHONE
EMAIL
NATIONALITY
DATE OF BIRTH
CURRENT EDUCATIONAL STATUS
Undergraduate your degree subject?
Graduate which subject?
..
Postgraduate which subject?
..
Other
NAME OF AN ACADEMIC REFEREE
Address
..
Tel. No
...
.Email
..
GENERAL Where did you hear about
us?..................................
Any allergies or disabilities?
..
Any dietary preferences?
Your hobbies/interests
.
Teaching subjects offered other than English
..
Please attach a recent photograph
FINANCIAL DETAILS
Please attach deposit of GBP 50 (USD 80 or EUR 60), cheques payable to S.E.A Whitehead*
Signature Date .
* Postal address: S E Angela Whitehead, 24 Les Fougeres, 23000 St Sulpice le Gueretois, France
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