The Tokyo Center for Language and Culture, Chubu Branch
The Tokyo Center for Language and Culture, Chubu Branch
2-19-19 Nishiki, Hirokoji Center Place, Naka-ku, Nagoya, 460-0003, Japan
Tel. 052 229 1961 Fax 052 229 1971
Language Instructor Application Form
Name: Mr./Ms.Date of Birth: / Nationality:
Place of Birth: / Marital Status:
Present Address:
Phone Number: / Includes: Fax Answering Machine
Fax: / E-mail Address:
Nearest Station: / Line: / Subway Train
Approx time from home to station: / by: Foot Bus Bike Car
Permanent Address:
Person to notify in case of emergency (relation to applicant, name and address):
Current Visa Status:
Passport Number: / Valid until:
Current Japanese visa type: / Valid until:
Period of stay granted for: / Date admitted on:
Full Time Application:
Earliest date available to start:
Location preference (if any):
Explain reason:
How long do you plan to stay in Japan? One year Two years Three years
More than three years. Explain why:
Part Time Application: Day and time availability: O – available, X – not available
Time / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
Morning
Afternoon
Evening
To make this application complete, please attach the following items:
Curriculum Vitae / Copies of relevant certificates and diplomas
Current Passport copy (if applicable) / Current visa copy (if applicable)
Foreign Registration Card copy (if applicable) / 1 Passport photo
Bank Book (account information) copy
Educational Background:
Please list all post-secondary education and attach a copy of all relevant degrees, certificates, diplomas or a copy of your transcripts.
Institution / Country / From - To / Degree and year / Major
Work Experience:
Please list your past work experience starting with your most recent employment.
Organization / Job Title / From - To / Responsibilities / Reason for Leaving
Teaching Experience:
If any of the above were teaching positions, or if you have had teaching positions in addition to the above, please list them here.
Institution / Location / Level / From - To / Subjects
Languages:
What languages do you have some facility in, and how much? Please rate yourself from 5 (native) to 1 (beginner).
Language / Speaking / Listening / Reading / Writing
Please list any additional qualifications, certificates, experience or special interests that you might have. If you are a member of any other professional organization concerned with education, linguistics, cultural affairs, etc.
Please list some of the text books you have used in the past.
Which one do you prefer? / Why?
Please describe what you believe is a good method or principle of teaching language to Japanese students.
How would you generally organize your time in a two hour class?
Any other comments you might want to give in addition to the above.
Do you have any special training or experience in Japanese or Asian civilization? If so, how was it acquired?
What is your favorite types of entertainment and recreation?
Please explain why you are applying for this position and why you chose TCLC.
References:
Please list three people, preferably in Japan, in a position to judge impartially your character, motivation, educational and employment record, and who can evaluate your qualifications. If you have any Letters of Reference, please attach copies to this application.
Name / Position / Telephone / Fax / E-mail
The information I have given in this application is complete and accurate.
(Omission of any information relevant to the application process, or the provision of false information, can be grounds for termination of contract without notice.)
Signature of applicant / Date of application
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