JEJU
GEC ENGLISH INSTRUCTOR APPLICATION
FORM
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<Form No.1>
1. NAME IN PASSPORT Include any suffix (Jr., Sr., etc)
2-1. DATE OF BIRTH
2-2. AGE 2-3. Current Visa Type (F4, etc.)
YEAR
MONTH
DAY
3-1. GENDER 3-2. PLACE OF BIRTH
4-1. PRIMARY CITIZENSHIP
4-2. SECONDARY CITIZENSHIP
CITIZENSHIP YOU WOULD USE TO TEACH IN KOREA
LIST ANY OTHER CITIZENSHIP(S) YOU HOLD
4-3. KOREAN HERITAGE (IF APPLICABLE)
YES
NO
- Are you ethnically Korean? (if no, proceed to
⑤)
YES
NO
- Does the Korean government consider you to be a holder of Korean citizenship? You
MUST consult the Korean Embassy/Consulate about your nationality status BEFORE
applying.
5. CURRENT ADDRESS
Please notify the JEJU GEC office of any address changes.
HOUSE NUMBER & STREET NAME
CITY
STATE/PROVINCE
POSTAL CODE
COUNTRY
TELEPHONE (INCL. COUNTRY CODE & AREA CODE)
6-1. EDUCATIONAL BACKGROUND
For elementary, middle and high school, list all institutions you attended for each level. Add more rows if necessary. For post-secondary
education, please list all of the institutions where you have obtained credits toward your degree(s).
LEVEL
NAME OF INSTITUTION
STATE/ PROVINCE
& COUNTRY
ENROLLMENT
GRADUATED
(Yes/No)
NUMBER
OF YEARS
AT SCHOOL
FROM
(MM/YY)
TO
(MM/YY)
ELEMENTARY
/
/
N/A
MIDDLE
/
/
N/A
HIGH
/
/
N/A
POST
SECONDARY
EDUCATION (1)
/
/
N/A
DEGREE:
MAJOR:
GPA:
POST
/
/
N/A
SURNAME
GIVEN NAME (FIRST AND MIDDLE)
MALE FEMALE NON-BINARY
CITY (STATE/PROVINCE)
COUNTRY
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GEC ENGLISH INSTRUCTOR APPLICATION
FORM
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SECONDARY
EDUCATION (2)
DEGREE:
MAJOR:
GPA:
6-2. CERTIFICATIONS (IF ANY)
Add more rows if necessary. Applicants must provide documented proof of a certificate.
TITLE OF CERTIFICATION
ACCREDITING INSTITUTION
ISSUE DATE
(MM/YY)
MM/YY
MM/YY
7-1. FULL-TIME / PART-TIME TEACHING/COORDINATOR EXPERIENCE (IF ANY)
Please list from the most recent employment. Add more rows if necessary.
NAME OF
INSTITUTION
POSITION
TITLE
FULL / PART
TIME
SUBJECT
STATE /
PROVINCE &
COUNTRY
AGE
RANGE OF
STUDENTS
FROM
(MM/YY)
TO
(MM/YY)
NUMBER
OF
MONTHS
MM/YY
MM/YY
MM/YY
MM/YY
MM/YY
MM/YY
IF YOU NOW HOLD A CONTRACT POSITION, WHAT IS THE EXACT FINISH DATE OF THE CONTRACT?
M M D D Y Y Y Y
MM/YY
MM/YY
7-2. CONTACT INFORMATION FOR LETTERS OF RECOMMENDATION
NAME OF
INSTITUTION
NAME OF
REFEREE
RELATIONSHIP
TO YOU
OFFICE
PHONE
7-3. NON-TEACHING WORK EXPERIENCE (IF ANY)
List from the most recent employment. Add more rows if necessary.
JOB TITLE
EMPLOYER
STATE / PROVINCE
& COUNTRY
FROM
(MM/YY)
TO
(MM/YY)
NUMBER OF
MONTHS
FULL-TIME OR
PART-TIME
MM/YY
MM/YY
MM/YY
MM/YY
8. ADDITIONAL PERSONAL INFORMATION
YES
NO
IF YES, PLEASE
EXPLAIN
① Do you have any Korean language skills?
② Have you ever resigned from, or broken, any contract, whether at
home or abroad?
③ CRIMINAL RECORD
Have you ever been charged (whether convicted or dismissed) with
any offense/crime? (Alcohol, substance-related & traffic offenses
included)
9. CONSENT FOR VERIFICATION AND STATEMENT OF TRUTH
I hereby authorize the Global Education Center in Jeju (GEC) under the Korean Ministry of Education to verify on my behalf
JEJU
GEC ENGLISH INSTRUCTOR APPLICATION
FORM
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the information disclosed in this application form and the documents required by GEC as well as collect other information
deemed necessary by GEC to determine the applicant’s suitability from any institution, organization or individual issuing said
information and/or documentation.
The answers I have provided throughout this application are true and correct and I will bear full legal and financial responsibility
for any errors or falsehoods contained herein. I am aware that any violation of GEC policies, even prior to arriving in Korea,
can result in termination of the GEC Notice of Appointment and Contract.
FIRST NAME
MIDDLE
INITIAL
LAST NAME
MM / DD / YYYY
SIGNATURE
DATE
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GEC ENGLISH INSTRUCTOR APPLICATION
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10. PERSONAL ESSAY QUESTIONS
※ Please, answer each question below in approximately 200 words or less.
▫ Why are you applying for this position, and what do you wish to achieve as an
English Instructor?
▫ Describe your interaction with co-workers. Give examples to support your
description.
▫ GEC in Jeju requires English Instructors to teach a variety of types of students such
as elementary and secondary students, public English teachers, and local adult
residents. In your opinion, what is the most important qualification to teach them as
an English Instructor?
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GEC ENGLISH INSTRUCTOR APPLICATION
FORM
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<Form No.2>
Consent on the Collection and Use of Personal Information
National Institute of International Education wil col ect and verify your personal information
according to the “Act on the Protection of Personal Information Maintained by Public
Institutions” as mentioned below. The collected information will not be used for any other
purposes other than for the application, and if the purpose or use of information changes
the applicant wil be notified beforehand for consent. Please careful y read the fol owing
information and circle if you agree or disagree.
□ Areas of Collection and Verification of Personal Information
List of Areas
Purpose of
Collection
Duration of Possession
name, date of birth, age, current visa
type, gender, place of birth, primary
citizenship, secondary citizenship,
korean heritage, current address,
educational background, certifications,
full-time/part-time teaching/coordinator
experience, contact information for
letters of recommendation, non-
teaching work experience, additional
personal information, consent for
verification and statement of truth,
personal essay questions
Contracted
employee job
application
180 days after the date of
recruitment according to
the “Fair Hiring Procedure
Act”
※ You have the right to decline collecting and verifying your personal information.
However, it may negatively affect the application by doing so.
☞ Do you agree to collecting and verifying your personal
information as mentioned above?
Date: MM / DD / YYYY
Submitted by: NAME (Signature)
Submitted to: The President of NIIED
agree
disagre
e
JEJU
GEC ENGLISH INSTRUCTOR APPLICATION
FORM
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