Teacher Trainer application form 1.How did you hear about this trainer recruitment event? 2.Which selection event would you like to attend? Wednesday 16 th March & Thursday 17 th March 2016 Dubai Friday 18 th March & Saturday 19 th March 2016 Dubai Please tick Personal details 3.Title 4.Forename(s) 5.Last name 6.Home address POSTCODE 7.Country 8.Home telephone number Work telephone number Mobile telephone number 9.Email (personal) Email (term-time) 10.Social media addresses (if any) 11.What is your nationality? 1. 12.Please list second and third nationality if applicable 13.How many passports do you 2. 3. 1
hold? 14.Passport country of issue 1. 2. 3. 15.Languages spoken Level of fluency (1= basic; 2= good; 3= native proficiency) 16.Travel restrictions (any countries where you would not be able to work for us). If you have none, please write none in the box. 17.Relevant qualifications (undergraduate, postgraduate and professional). Please list the most recent first. 18.Do you have a UK bank account? 2
Employment details 19.State how many years you have been a teacher: Current position 20.Current job role/job title/position 21.Are you based in a school? 22.Subject(s) and level(s) taught and examination board (where appropriate) 23.Name of school 24.Address of school State/County Zip/Postal Code Country 25.Name and contact details of head teacher Name Email address Telephone number 26.Name and contact details of line manager (if different) Name Email address Telephone number 27.Is this a Cambridge school? 29.Employment start date (DD/MM/YYYY) 28.If yes, what is the Cambridge centre number? 3
Previous employment Please provide details of your previous two positions (if any) before your current role, starting with the most recent. 30.Previous position (1) 31.Subject(s) and level(s) taught and examination board (where appropriate) 32.Name of school 33.Address of school 34.Is this a Cambridge school? 36.Dates of employment 35.If yes, what is the Cambridge centre number? 37.Previous position (2) 38.Subject(s) and level(s) taught and examination board (where appropriate) 39.Name of school 40.Address of school 4
41.Is this a Cambridge school? 43.Dates of employment 42. If yes, what is the Cambridge centre number? Training and professional development experience 44. Give brief details (title/subject/level/audience), including dates, of any training sessions you have led in the last 5 years. 45. Give brief details (title/subject/level) of training you have received in the last five years. (Please state whether the training was face-to-face or online). 46. Give brief details of any Cambridge International Examinations or Cambridge Assessment conferences you have attended in the last five years. 47. Give brief details of any other professional development conferences you have attended in the last five years. Examining experience Please give details of any examining experience you have. If none, please leave blank. 48. Board 49.Subject/syllabus/level/paper 50.Role (e.g. Principal Examiner, Team Leader) 51.Cambridge examiner number (if applicable) 52.Dates From: To: 53. Board 54.Subject/syllabus/level/paper 5
55.Role (e.g. Principal Examiner, Team Leader) 56.Cambridge examiner number (if applicable) 57.Dates From: To: Confidential material / future exam content 58. Please note: you will not be permitted to be a trainer for a syllabus where you have had sight of future papers. Provide details of any such restrictions. 6
IT experience Rate your familiarity with and ability to use (please tick): 59. No experience Have used it a few times PowerPoint (or similar) Word (or similar) Distance learning tools (e.g. Blackboard, Moodle) Social media Other (please list) Have used it a lot I am an expert user Availability please indicate when you may be available to undertake work (please tick). 60. Aug 1 Oct 31 (Quarter 1) Nov 1 Jan 30 (Quarter 2) Feb 1 Apr 30 (Quarter 3) May 1 Jul 31 (Quarter 4) 61. Please give details of any other roles (e.g. consultancy work) you have been asked to perform for Cambridge International Examinations or Cambridge Assessment, and give dates. 62. Please indicate the type of training you would like to deliver: Face-to-face training in your own country Overseas face-to-face training Online training (remote tutor-led 7- week mentoring) Webinar training (2-hour interactive e-learning) 7
Best practise training (non-syllabus specific) Production of online materials Production of materials for others to deliver face-to-face Training for Cambridge Please answer each of the questions below in 100-200 words. 63. For which subject/level/syllabus/general PD topic(s) would you like to be trainer? 64. Why do you think you would make a good trainer of Cambridge teachers? 65. Describe an example of a good training session you have recently attended and explain why you think it was good 66. What are the main differences between training adults and training children? 8
67. What are the challenges of training online as opposed to face-to-face? 68. In what way do you hope to develop yourself by being a trainer? Reference 69. Provide details of a referee who we can contact to endorse your application. This person should ideally be your Head of School or equivalent and must not be a close family member. Name Position Email address Telephone 9
number Address Country Postcode Declaration 70. I confirm that I have read and accept the terms and conditions of application as set out in the accompanying Guide to the Trainer Application Procedure (posted on the application webpage) and I am happy for Cambridge International Examinations to contact my referee. I also certify that the information given in my application is true. Please write Yes in the box to confirm: 71. I understand that this information will not be used or stored electronically for any purpose other than providing personal information to offer training support opportunities as indicated, booking of airline tickets and/or visa applications, contact details in case of an emergency when representing Cambridge International Examinations and date of birth/medical information for insurance purposes (if applicable). Please write Yes in the box to confirm: 72. I hereby consent to the collection and use of my personal images by photography or video recording for marketing purposes of training services. I acknowledge these may be used on the Cambridge International Examinations website, in newsletters and publications as well as distributed to members. Please write Yes in the box to confirm: 73. I understand that completion of this application form is not a guarantee that I will be invited to a trainer selection event. I also understand that invitation to a trainer selection event is not a guarantee that I will be invited to be a Cambridge trainer. Please write Yes in the box to confirm: 10