28.03.2015 Views

Gap Staff Application Form - Regents School

Gap Staff Application Form - Regents School

Gap Staff Application Form - Regents School

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THE REGENTS SCHOOL PATTAYA<br />

GAP STAFF APPLICATION FORM<br />

Personal Information<br />

Full Name<br />

Date of Birth<br />

………………………………………………………………………………………………………..<br />

………………………………………………………………………………………………………<br />

(Day/Month/Year)<br />

Home Address<br />

………………………………………………………………………………………………………<br />

………………………………………………………………………………………………………<br />

………………………………………………………………………………………………………<br />

Telephone<br />

E-mail Address<br />

<strong>School</strong> Attending<br />

<strong>School</strong> Address<br />

………………………………………………………………………………………………………<br />

………………………………………………………………………………………………………<br />

………………………………………………………………………………………………………<br />

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In Case of Emergency<br />

Contact Person<br />

Relationship<br />

E-mail<br />

Telephone<br />

Fax<br />

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Education<br />

Current year at school/ university ………………………………………………………………………………………………..<br />

Qualification studying for<br />

Latest subjects and grades/<br />

Predicted grades<br />

………………………………………………………………………………………………………<br />

………………………………………………………………………………………………………<br />

………………………………………………………………………………………………………<br />

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About Yourself:<br />

Leadership responsibilities held over the last three years<br />

…………………………………………………………………………………………………………………………………………………………<br />

…………………………………………………………………………………………………………………………………………………………<br />

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Sporting achievements of the last three years<br />

…………………………………………………………………………………………………………………………………………………………<br />

…………………………………………………………………………………………………………………………………………………………<br />

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Cultural achievements of the last three years<br />

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Service achievements of the last three years<br />

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Relevant awards/experience<br />

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…………………………………………………………………………………………………………………………………………………………<br />

What do you do for hobbies, recreation and relaxation?<br />

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…………………………………………………………………………………………………………………………………………………………<br />

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…………………………………………………………………………………………………………………………………………………………<br />

List any work experience<br />

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…………………………………………………………………………………………………………………………………………………………<br />

Have you been overseas before?<br />

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Are there any health concerns that we should be aware of?<br />

…………………………………………………………………………………………………………………………………………………………<br />

…………………………………………………………………………………………………………………………………………………………<br />

Are you a smoker? ……………………………………………..


What tertiary/career ambitions or expectations do you have on returning from your gap year?<br />

…………………………………………………………………………………………………………………………………………………………<br />

What do you consider to be your main strengths?<br />

…………………………………………………………………………………………………………………………………………………………<br />

…………………………………………………………………………………………………………………………………………………………<br />

…………………………………………………………………………………………………………………………………………………………<br />

…………………………………………………………………………………………………………………………………………………………<br />

…………………………………………………………………………………………………………………………………………………………<br />

Based on what you have written above, what do you feel you will have to offer as a <strong>Gap</strong> <strong>Staff</strong> at<br />

Regent’s?<br />

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What sports/cultural/service activities would you feel comfortable with coaching or assisting with?<br />

…………………………………………………………………………………………………………………………………………………………<br />

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Which subjects and age groups would you feel comfortable assisting with?<br />

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Are there any other aspects of your character, background or experience that you would like to outline?<br />

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Photograph<br />

Please provide a recent photograph of yourself. It does not have to be taken specially, so long as it does<br />

reasonable credit to you. A photo is particularly helpful when we are meeting you at the airport.

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