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Apply Online Work-Study Programme A

I am applying for Work-Study Programme A * indicates mandatory fields A. Personal Details Surname*: First name*: Middle name: Sex*: M F Date of birth*: City of birth*: Country of birth*: Nationality at birth*: Nationality*: Native Language*: Second language: Third language: Current contact address*: Postal code: Tel.: Skype address: E-mail address*: E-mail address (alternate): Do you hold a valid Passport?* Yes No  (if yes, complete this section) Country of issue: Passport number: Expiry date: In which country will you apply for a visa: Nearest Russian consulate in that country: Encumbrances (all questions must be answered) Do you know of any reason that might make it difficult for you to fulfill a maximum 9-month contract (e.g. family obligations/illness)?* : Y N Do you have any medical conditions that require medication or periodic medical care?*: Y N If 'yes' to either question, please explain in the space provided below. Have you ever been convicted of a felony, or a misdemeanor, involving any violent act, use or possession of a weapon or act of dishonesty for which the record has not been sealed or expunged?*: Y N If 'yes', please explain in the space provided below. B. Educational Details Highest Academic Qualification*: University: Major: Graduation Date: Minor: Other academic Qualification: University: Major: Graduation Date: Minor: Other Professional Qualifications: Other coursework and/or experience (please tick boxes) Anthropology Health care/ Medicine Archeology IT Architecture Journalism Art/ Music Languages Business/ Economics Law Engineering Literature Film/ Media/ TV Marketing/ Management C. Work-Study Programme Details Please summarize your previous experience of studying Russian (if any).* What is your current proficiency level of Russian? (Your level of Russian does not affect your application's chances of success.)*   Beginner Pre-Intermediate Intermediate Upper-Intermediate Advanced Speaking Listening Reading Writing Please select the city where you would like to participate in the work-study programme*   First choice Second choice Moscow St. Petersburg Volgograd Samara If you select St Petersburg, Volgograd, or Samara as your preferred location, please be aware that there are fewer vacancies available in these cities than in Moscow. To improve your application’s chances of success, please confirm that you would be willing to accept a place in Moscow if there are insufficient places to meet demand in your first choice location. I confirm that I am willing to accept a place in Moscow should no places be available in St Petersburg / Volgograd / Samara. Please state the programme you are applying for.*     Please state when you are available to start your programme. 14-week     August 2012       22-week     September 2012   34-week     Other Please note: We prefer the arrival of participants to coincide with one of our initial training programmes which are held in January and August. Only exceptionally strong candidates are considered for different start-dates. Applications should be submitted no later than three months prior to the start of the programme. D. Extracurricular Profile Describe any work experience or teaching experience you would like us to know about.* Have you ever worked with children or young people; e.g. volunteer capacity, coaching?* Describe any organizations and activities you have been engaged in (sports teams, community service, etc.).* Have you been recognized for good performance in any organization you have participated in (consider jobs, volunteer work, academic excellence, etc.)?* E. Personal Profile Describe yourself using three adjectives and explain why you chose them.* Describe your interests and hobbies and whether you expect to be able to engage in these activities if offered employment in Russia.* State how you believe a term of employment in Russia will help with your future plans.* Have you ever lived/ worked abroad for more than three months?* YesNo If yes, answer the rest of the questions in this section. If no, answer only the last two questions. In which countries? Please complete the boxes below. Country/ City From To Country/ City From To Country/ City From To Have you ever visited Russia?* YesNo If yes, please provide us with dates, purpose of visit(s) and places visited. If accepted for employment, what do you anticipate will be the most challenging aspect of living and working in Russia for you personally?* F. Professional and Academic References For applicants without relevant teaching experience, please provide the names and contact information of two referees who have known you in either a professional or academic capacity* Referee No. 1 Contact Information Referee No. 2 Contact Information Name:* Title*: E-Mail:* Tel.: Fax: Name:* Title*: E-Mail:* Tel.: Fax: NB. For ease and efficiency of communication, e-mail addresses are preferable. G. Where You Heard About Us Where did you find out about this Language Link job opportunity (please check all applicable fields)?* goabroad.com tefl.com From a former participant studyabroad.com transitionsabroad.com From my university teachabroad.com Russian Life Other (please state) findagapjob.com expat.ru If you used a search engine, which one did you use? Google Yahoo MSN Other (please state)   H. Declaration I declare that I have not knowingly made any false statements in this application form. I understand that the giving of false information may result in my expulsion from the Language Link programme.* I agree