Application Form Application Form First Name Last Name Email address Mobile Number Date of Birth Address Address Town / City Country Postal Code How did you find us? How did you find us? Google Facebook Word of Mouth Other Do you speak fluent English? Do you speak fluent English? Yes No What other language (s) do you speak? Are you a qualified Are you a qualified Teacher Coach Child care worker None of the above Do you have any criminal convictions spent or unspent Do you have any criminal convictions spent or unspent Yes No If yes, please explain Are you barred from working with children or vulnerable adults? Are you barred from working with children or vulnerable adults? Yes No Employment Status Employment Status Employed Unemployed Self-employed Current Job If employed, who do you work for? Job Description What qualifications do you have? Do you have any experience working with children? Please provide details and the ages of the children you have worked with. What inspired you to want to teach Emotional Intelligence skills? Tick to agree to the following Tick to agree to the following I understand that I have to complete the EQ Tutor Training and pass the assessment before I can teach Tick to agree to the following Tick to agree to the following I understand that I need to submit a police clearance / DBS certificate before I can teach Tick to agree to the following Tick to agree to the following I understand that this is an opportunity to work with us and not an offer of employment Tick to agree to the following Tick to agree to the following I am interested in becoming a Teddy's Inc. EQ Tutor and am willing to pay for my training 9 + 9 = Submit