LCL LANGUAGE TRAINING - TRAINER QUESTIONNAIRE
Title *
Mr
Mrs
Miss
Ms
Dr
Sir
Rev
Firstname *
Surname *
Address *
Town/City *
County/State *
Please select
Antrim
Armagh
Avon
Bedfordshire
Berkshire
Borders
Buckinghamshire
Cambridgeshire
Central
Cheshire
Clwydd
Cornwall
Cumbria
Derbyshire
Devon
Dorset
Down
Dumfries & Galloway
Durham
Dyfed
East Sussex
Essex
Fermanagh
Fife
Gloucestershire
Grampian
Greater Manchester
Gwent
Gwynedd
Hampshire
Herefordshire
Hertfordshire
Highlands
Humberside
Isle of Man
Isle of Wight
Kent
Lancashire
Leicestershire
Lincolnshire
London
Londonderry
Lothian
Merseyside
Mid Glamorgan
Mid Wales
Middlesex
Norfolk
North Yorkshire
Northamptonshire
Northumberland
Nottinghamshire
Orkney Islands
Oxfordshire
Powys
Shetland Islands
Shropshire
Somerset
South Glamorgan
South Yorkshire
Staffordshire
Strathclyde
Suffolk
Surrey
Tayside
Tyne & Wear
Tyrone
Warwickshire
West Glamorgan
West Midlands
West Sussex
West Yorkshire
Western Isles
Wiltshire
Worcestshire
Other
Zip/Postcode *
E-mail Address *
Telephone Number
Mobile Number *
Nationality *
Mother Tongue *
Date of Birth *
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MM
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YYYY
1997
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Do you have access to a car? *
Yes
No
Would you teach students in your own home? *
Yes
No
Internet Proficient? *
Yes
No
Are you prepared to travel more than 60 minutes? (for classes of 2 hours or more)
Yes
No
If yes, then how far?
Are you willing to train by telephone?
Yes
No
Are you willing to travel overseas with trainees?
Yes
No
Rate per hour - 60 minutes* (include the currency you like to receive payment in, e.g. pounds, dollars, euros)
Can you teach Mandarin?
Yes
No
If yes, then
Ability
Intermediate Upper
Intermediate Advanced
Proficient Mother
Tongue
Qualifications (please state name,
date and level of qualification related to this
language)*
Years Teaching - General
Years Teaching - Business
Special Purposes you can train in this
language (e.g. telecommunications, banking, finance, insurance, accounting, architecture or civil engineering, medical, legal and IT etc)
Can you teach Cantonese?
Yes
No
If yes, then
Ability
Intermediate Upper
Intermediate Advanced
Proficient Mother
Tongue
Qualifications (please state name,
date and level of qualification related to this
language)*
Years Teaching - General
Years Teaching - Business
Special Purposes you can train in this
language (e.g. telecommunications, banking, finance, insurance, accounting, architecture or civil engineering, medical, legal and IT etc)
Previous Employers (please state company name, location, dates you worked there, and position held, write NONE if you have never worked before)*
Other Qualifications (please include university level qualifications and other non-language qualifications stating the institution, qualification, dates and level achieved)*
Hobbies & Interests (this may be useful to match you with a trainee who has similar interests)*
Comments (please enter any additional information)