Volunteer application form

Thank you for enquiring about ESOL home tutoring with English Language Partners North Shore.
Please enter your details, click 'Submit Form' and we will contact you soon to arrange an interview.

Training course dates 2011

 

Required Fields *
First name*
Last name*
Contact phone* (home) Area code*   Number*
Contact phone (work) Area code     Number  
Contact phone (mobile) Number
Email address*
Preferred mailing address*
Post Code
Date of Birth*
Gender*                               M F
Are you a NZ Citizen / Permanent Resident of NZ?*
Yes No
Ethnicity*
First language*
Other language(s)
Work Status* Full time
Student
Self-employed
Unemployed 		Part time
Homemaker
Retired
Other
Present Occupation*
Past Occupations
Which course would you like to attend? Course 1   Course 2   Course 3   Course 4
Days/times available
Mode of transport to learner
Life experience (i.e. family, travel, work, qualifications)
Personal interests
How did you hear about English Language Partners Word of mouth
Advertisement
Email
Website
Connecting Cultures magazine
Local Paper
Home Tutor
Volunteer Centre
Other
I agree to provide the names and contact addresses / phone numbers of
two people who are able to act as my referees.
Referee 1: Name
Address
Phone
What is your relationship with this referee?
Referee 2: Name
Address
Phone
What is your relationship with this referee?
(tick to agree)
I give permission for English Language Partners New Zealand to hold the above information about me in accordance with the Privacy Act, 1993, and understand that some details will be passed on to the National Office for accountability purposes for Government funding. I may see any information held about me and amend any errors in that information.
I give permission for my contact details to be used by English Language Partners North Shore to inform me of its activities relating to my work as a volunteer Home Tutor. I understand English Language Partners North Shore will not pass contact details to any other organisation.
I have declared any criminal convictions (not excluded by the Clean Slate Act 2004) and/or any criminal charges pending in New Zealand or any other country.
I understand my application may be declined and that this decision is final.
I confirm the information I have provided is correct.