TEST FEDERICO

Name (as on your passport): Surname (as on your passport): Email: Your area code and phone number (ex. 0044 - 11223344): Date of birth (mm/dd/yyyy): Age: Your sex: MaleFemalePrefer not to say Nationality (as on passport – please specify if you hold dual citizenship): Valid passport:

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Are you a native English speaker YesNo Have you ever worked with any of the following age groups? 3 to 5 years6 to 8 years9 to 11 years15+ yearsNone

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Emergency contact name and number: Name: Telephone number: Relationship:

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Are you a returning tutor (having worked with Bell in the past)? YesNo

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Do you have any allergies or medical conditions that we should be aware of?: YesNo Do you have any dietary requirements or food allergies?  YesNo Do you smoke? YesNo Can you speak Italian? YesNo

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How did you hear about the position?

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Please state your highest educational qualification: Please list your teaching or TEFL related qualifications:  Please detail your experience working with children and young people: Why do you want to be a Bell summer camp tutor? What relevant experience have you got?