TYLEC Application Form

British Council Kyiv

4th – 24th July 2018

Please fill in this form fully and carefully. We recommend that you complete it on a computer
rather than by handwriting it. The due date for this application is 4th May 2018. Thank you.

Personal Information

Last Name

First Name

Date of Birth

First Language

Nationality

Address

City

Country

Postal Code

Daytime phone

Evening phone

Email

Permanent
Address
(if applicable or
different from
above)

City

Country

Postal Code

The United Kingdom’s international organisation for cultural relations and educational opportunities. A registered charity: 209131 (England and Wales) SC037733 (Scotland).
Education and Qualifications

Please tick the box [1. Double click the grey box. 2. Click ‘checked’ box. 3. Click ‘OK’.] Then, write
the awarding body / institution and the date awarded.

Previous qualifications Awarding body / Date awarded

Institution
TEFL I or equivalent (adults)
Certificate ELT (YLs)
YL extension courses
Diploma ELT (Adults)
Diploma ELT (YLs)
Cert. Ed.
Please indicate
subject in this column

P.G.C.E. / B.Ed.
Primary
Secondary
Probationary year
complete
First Degree / or equivalent
Masters Degree
Other (specify below)

Present Employer

Dates Employer / Location Job Title / Description

Teaching Experience

Dates Employer / Location Job Title / Description

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Other Employment

Dates Employer / Location Job Title / Description

Language Proficiency

Language Spoken Level Written Level Certification

(if applicable)

Referees

Please give names, email addresses, fax and phone numbers of two referees (including your
current employer, and a previous employer or someone who has known you for a long time). You
should inform your referees that we will be sending them a written reference form to complete.
The referees will be asked about your suitability for teaching children.

If you have a valid National Teacher Number, then please attach evidence to your
application. In this case only one additional reference from your current employer is needed.

If you are currently employed by the British Council, only one reference is needed and
that may be your line manager, in which case supply the name, teaching centre and
email, and state ‘line manager’ in ‘Relationship to candidate’.

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Referee 1

Full Name

Company / Institution

Position

Relationship to
candidate

Address

City

Country

Postal Code

Phone Number

Email

Referee 2

Full Name

Company / Institution

Position

Relationship to
candidate

Address

City

Country

Postal Code

Phone Number

Email

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Interview

Please list times below when you will not be available for an interview. The pre-course interview
will take a maximum of 45 minutes, but usually are no more than 30 minutes.

Equal Opportunities & Diversity

The British Council is committed to a policy of equal opportunity and is keen to reflect the
diversity of UK society at every level within the organisation. We welcome applications from all
sections of the community. The British Council is an equal opportunities employer and does not
discriminate on the basis of race, colour, age, gender, or physical disability.

Disability
Section One of the Disability Discrimination Act 1995 defines a person as having a disability if he
or she has a physical or mental impairment, which has a substantial and long-term adverse effect
on his or her ability to carry out normal day-to-day activities. It is British Council policy to
interview all applicants who are disabled and who meet the essential criteria for an advertised job
or course.

Yes
Do you have a disability?
No
Whether or not you are disabled, do you need any help or special
consideration to enable you to attend / participate fully in the interview
Yes
and complete associated tests?
(If your answer is ‘yes’ we will get in touch with you later to ascertain how best to No
assist you.)

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 Conditions of Application

Acceptance onto the Trinity / British Council Teaching Young Learner Extension
Certificate Course at the British Council Kyiv is not automatic or guaranteed. Applicants
must satisfactorily complete a Statement of Interest and pass a Screening Interview to
be accepted. Candidates must be able to demonstrate that their level of English, both
spoken and written, is suitable for the demands of the course. The decision of the
centre is final.

I have read and understood the conditions of application, and agree to abide by them. I
hereby declare that the information in this form is correct, that any written work
submitted is my own and that I am in a state of general good health.

Signed: Date:

(type your name in CAPITAL LETTERS if emailing this form)

Conditions of Successful Course Completion

Acceptance onto the Trinity / British Council Teaching Young Learner Extension Certificate
Course at British Council Kyiv does not guarantee successful completion of the course
resulting in a pass mark and a TYLEC Certificate. Course participants must successfully
meet pass standards for the following assignments and course areas:
o Guided Observation Journal (internally assessed, externally moderated)
o Professional Development Action Points / Teaching Practice Journal (internally
assessed, externally moderated)
o Teaching Practice and Feedback (internally assessed, externally moderated)
o Materials Development Assignment (externally assessed)
o 100% attendance throughout the course*
o Demonstrate Professional Awareness and Development (see next page for details)

I have read the Professional Awareness and Development section of this application form
(next page) and I understand my obligations as a course participant as noted above.

Signed: Date:

(type your name in CAPITAL LETTERS if emailing this form)

*allowing always for absence due to unexpected illness, accident or bereavement.

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Professional Awareness and Development

Successful trainees must demonstrate:

o awareness of the needs of other colleagues in the team, teaching and non-
teaching, and the value of mutual support in the teaching – learning – training
environment, and

o awareness of the need for development throughout the course, based on a

constructive response to training input and feedback from tutors, peers and young
learners.

This awareness is demonstrated through the following behaviour:

a. willingness to attend all parts of the course (allowing always for absence due to
unexpected illness, accident or bereavement*)

b. ability to complete all assessments including teaching practice and hand in

assignments at the required times unless they reach a prior agreement with their
tutor

c. ability and willingness to contribute actively to group and workshop activity

d. willingness to respect the contributions and work of other trainees and of their
tutors

e. willingness to respect young learners’ reactions to the teaching-learning

environment

f. willingness to respect the contribution of the non-teaching, non-tutoring staff to

the
training programme

g. ability and willingness to take note of feedback from their tutors to develop a
constructive dialogue.

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Application Checklist

Please check that you have completed these items:

o The application form
o Statement of interest
o Candidate declaration form

Please check that you have attached these items:

o Copy of TEFL certificate or ELT Diploma (or fax it to us)
o 2 passport photos (real or digital/scanned versions acceptable)

Please email your completed application form and application task to:

Rhonda Pritchard
British Council Kyiv, Ukraine
[email protected]

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Statement of Interest

Write at least 300 words (but not more than 500 words) on why you wish to
attend the Trinity Young Learner extension course at British Council Kyiv. Also,
please comment on:
o what impact the course will have on your teaching
o what qualities / skills you think you have that make you an effective teacher
of English to young learners
o which qualities / skills you feel you still need too develop
o what you think are some differences between teaching adults and young
learners.

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Candidate Child Protection Declaration Form
I declare that I have never been convicted of, nor had any criminal proceedings against me, nor have I been warned, either
orally or in writing, in relation to child abuse. I declare that there are no such proceedings pending against me at the date of
this declaration.

I declare that in my previous places of employment, no disciplinary action has been taken against me, neither have
disciplinary proceedings been taken against me, in relation to child abuse.

I expressly authorize the British Council to pass personal details to the British Council in the UK, and through the British
Council to ask for enhanced disclosures from the Criminal Records Bureau1 in the UK.

I authorize the British Council to ask for criminal records information in relation to child abuse in other countries if necessary.
I expressly authorise the British Council to pass personal details to the relevant authorities in countries where I have lived or
worked for the purpose of obtaining criminal records information.

I give my permission to The British Council to check the above-mentioned criminal records periodically.

I authorise the British Council to seek references or approach previous employers for information to verify information on
disciplinary offences relating to children.

I understand that if I withhold any relevant information, or present false or inaccurate information, I may render myself liable
to disqualification from the recruitment exercise or, if appointed, to disciplinary action including fair dismissal.

I will adhere to the British Council’s Child Protection Policy, to the Standards of Behaviour for Staff working with Children
and Young People, and the British Council Code of Conduct, which, If I am accepted on the course, I will read and sign on
thie first morning of the course.
I understand that in compliance with Data Protection legislation this declaration is confidential and is extended solely in order
to accredit my suitability to work with children and young people at the British Council; this declaration may not be used
totally or partially for any other purpose save that for which it is expressly made.

Name_________________________________________

Centre / Department_________________________________________

Signed (type your name in CAPITAL LETTERS if emailing this form)

_____________________________

Date________________________________________

FOR BRITISH COUNCIL USE

Name of manager _________________________________________

Centre / Department _________________________________________

Signed _________________________________________

1
The Criminal Records Bureau (CRB), an Executive Agency of the Home Office, provides wider access to criminal record
information through its Disclosure service. This service enables organizations in the public, private and voluntary sectors to
make safer recruitment decisions by identifying candidates who may be unsuitable for certain work, especially that involve
children or vulnerable adults. The CRB was established under Part V of the Police Act 1997 and was launched in March
2002.

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