Work preference1
Sporadically Regularly Full
time
Work preference2
Regular
lesson Jump in
lesson Both
Name
E-mail address
(Please make sure you register your e-mail address. )
Messenger address
Telephone
Current Occupation
(School name etc)
Employment History
Working experience
Do you own, or plan to own, your own online school?
Yes No Name/Website:
Working experience
Do you teach, or plan to teach, your own private students online?
Yes No
Working experience
Do you currently work for any online English schools?
Yes No Name/Website:
Degree
Citizen
Mother Tongue
I can speak(language)
Birthday
Year
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
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1962
1961
1960
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1958
1957
1956
1955
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1953
1952
1951
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1949
1948
1947
1946
1945
1944
1943
before1943
-
Month
1
2
3
4
5
6
7
8
9
10
11
12
-
Day
1
2
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5
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31
-
Age
-
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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33
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51
52
53
54
55
56
57
58
59
60
over60
years old
Sex
Male Female
Current Address
Teaching Qualifications
TESL TEFL Other
Working experience
Do you have experience of private lessons? Yes No
Working experience
Do you have experience of private lessons? Yes No
Your Teaching Policy/Principle
Contents and ideas of classes What level of students can you
teach? (beginner, intermediate etc)
Hobbies/Introduce yourself
(favorite topic of
conversation)
Lesson request (Maximum)
Approximately how many lessons would you like to have? per a week.
Lesson request (Minimum)
Approximately how many lessons would you like to have? per a week.
Teaching period(Longest)
Approximately how long are you hoping to work with E&E?
Teaching period(Shortest)
Approximately how long are you hoping to work with E&E?
Computer eperience
Can you type quite fast? Yes
No
Messenger experience1
Have you ever used Windows Live Messenger ? Yes No
Have you ever used textchat on Windows Live Messenger? Yes No
Have you ever used webcam on Windows Live Messenger? Yes No
Have you any experience signing into Windows Live Messenger using different
accounts?
(for example, you have two accounts and are able to change between the two?) Yes No
Messenger experience2
Have you ever used Skype ? Yes No
Have you ever used textchat on Skype? Yes No
Have you ever used webcam on Skype? Yes No
Have you any experience logging into Skype using different accounts? Yes No
Computer Environment
Operating Sytem Windows XP Other-
Do you have a web-camera? Yes No
Do you have headphones? Yes No
Do you have broadband? Yes No
How fast is your broadband?
How
often do you check your e-mail ?
Please check your free time. (If you are free from 1 to 2 o'clock on
Monday, check the circle).
Your Local time zone (USA Eastern Summer time
etc)
What is your purpose of working with E&E?
Picture
Do you have a picture? Yes
No May we use your picture on our
site?
・E&E main web-site? Yes No
・on the hidden page which only E&E students can see? Yes No ・on the teacher's
brochure? Yes No
*Please send your picture to eesupport@englisheverywhere.com