Please copy the following Questionnaire Form to your PC. After answering the questions please e-mail the completed form with recent photo to kk@hfls.jp

Name:

1.      Contact phone (need national code):

2.      Current address:

3.      Nationality:

4.      Date of birth:

5.      Gender:

6.      Marital status:

7.      Do you have any companion come with you?

8.      Valid drivers license is vital:                           Japanese or:

9.      Educational level: BA/MA/Other

10.  Qualification(related ESL only)    No:          Yes:            Title

11.  ESL experience   No:     Yes:               year

   Where?            From      year       month  To      year       month

   Where?            From      year       month  To      year       month

12.  ESL experience for children          Yes:         No:

13.  Do you have any preference for kid or adult?

14.  Teaching experience in Japan  No:     Yes:         years        classes / week 

Name of the school / organization:                         prefecture

Contact info: phone #:       e-mail:      referee’s name:

15.  Reference    No:      Yes:

Name of the organization:             name of the referee:           phone #

    Name of the organization:             name of the referee:           phone #

16.  Vegetarian?  No:  Yes:

17.  Smoking?    No:  Yes:

18.  Available time for telephone interview: AM        PM        Time Zone:        

19.  Available date for this position:

20.  What kind of teaching material have you used in the past?

21.  What is the name of the website you got our vacancy information?

RECENT PHOTO is required.