ENGLISH TUTOR APPLICATION /

ENGLISCH TUTOR BEWERBUNG

Germany / Deutschland

Applicant‘s Last Name/Nachname Applicant‘s First Name/Vorname

Applicant‘s Nationality/Nationalität Age at Program Start/Alter bei Beginn

Program/Programm:

❑ 1 month /Monat ❑ 2 months/Monate ❑ 3 months/Monate

❑ Other / Sonstiges weeks/Wochen

Availability / Verfügbarkeit: Earliest Departure Date / Frühestes Ausreisedatum:

Latest Departure Date / Spätestes Ausreisedatum:

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INSTRUCTIONS AND APPLICATION CHECKLIST

Congratulations on deciding to apply to Ayusa’s English tutoring program in Germany! Completing this application is

an important first step to becoming an English tutor in the heart of Europe. Once finished, your application will be

shown to our registered German host families. Therefore, fill out your application with care -and online.

Please be very thorough when you describe your previous tutor experiences with children, students or (young) adults.

Please check the box of each item once you completed it:

Profile Pictures:

For your profile pictures please upload 3-5 smiling photographs separately along with your application (using a .jpg format) Profile picture means:

- You are the only one in the photo - Close-up headshot only - Big smile, not too much make-up - No hat or sunglasses, etc. - Nice, colorful background - fully dressed (no swimwear, etc.) - No use of ‘funny’ filters (snapchat) - good quality photo - at least 500KB in size

Be aware that one of these photos will be the first impression that a host family gets of you.

English Tutor Application: Complete the application online using the writable PDF version enclosed. Do

NOT print and use handwriting as it must be in digital form.

Letter to prospective host family: The letter must be one page in length. For detailed instructions please

refer to the respective section of the application.

Photograph Collage: A photo collage is required! Please be creative! For detailed instructions please refer

to the respective section of the application.

Medical Record Verification Form: This form has to be completed by an authorized physician and must be

signed and stamped by the physician.

Personal Recommendation: to be completed by a friend, neighbor, teacher or employer (non-relatives only).

Background Check: To be obtained from your local police department in your home country.

Note: we do NOT need an advanced background check where fingerprints need to be taken.

Photocopy of your passport: Please attach a copy of your passport. It must be valid throughout and 6 months

beyond your stay in Germany.

Data protection sheet: to be signed and handed in with your application.

How to submit your application!

- For applicants using an agency in their home country: send it to them to process first before passing it on to us. - For direct applicants: forward it to us by:

• Email: tutor@ayusa-germany.org (email must not exceed 15MB)

• Upload to Ayusa’s cloud: https://cloud.intrax.de/index.php/s/w1YMUBkLvQPxp7U

(Please label all documents you upload with your name)

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ENGLISH TUTOR PROGRAM SUMMARY A true adventure awaits you – teach English and learn about Germany! Tutor Profile English tutors are young people between 18 and 30 years old with some background in working with children and/or teenagers. This could include experience tutoring kids after school, teaching as a substitute or assistant teacher, counselling at a summer camp, babysitting, etc. Additionally, you should be in good mental and physical health, mature and have a genuine interest in experiencing a different culture firsthand.

Tutor Responsibilities

The majority of our German host families have children who are currently studying English in school and are looking for some additional language support at home. Sometimes the parents are also interested in brushing up on their English skills with a tutor. Each host family is different and therefore the tutoring experience will vary slightly. This has to do with the person to be tutored, the tutee’s current level of English and when and how the tutoring in English should be done. However, the maximum number of hours as well as the type of support the tutor is supposed to provide are fixed and accepted by each host family prior to the start of the program and include the following:

• Tutoring the host children (and/or possibly adult members of the family) in English for a maximum of 15 hours per week

• Helping out with light household chores just like a regular family member

During the application process you will have the opportunity to speak with your prospective host family via video chat. During this conversation it is important to talk about each other’s' expectations of the program. You should also speak with the host family about the exact schedule and what type of language support they are interested in.

Benefits and Support

You will not only get to learn about the German culture and language firsthand through your host family but you will also have the opportunity to make international friends and return home with an abundance of new experiences. Furthermore, the international experience looks great on your resume!

As an English tutor with Ayusa you will receive the following benefits:

• Choice of placement length between 1-3 months (maximum of 90 days)

• Placement in a carefully screened host family

• Pre-departure support

• Private room and full board during your stay

• Local support by an Ayusa representative as well as the Ayusa office in Berlin before and during your

stay

• Arrival meeting with a local Ayusa representative

• Quarterly meetings with other Ayusa participants in the same area

• Free access to local public transportation in your host family’s community for the duration of the

program

• Free pick-up and drop-of from / to an international airport nearest to your host family’s place

• Free-time to explore Germany

• Free 24/7 emergency phone number

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English Tutor Application

Englisch Tutor Bewerbung

A. PERSONAL DATA/ANGABEN ZUR PERSON

Last Name/Nachname: First Name/Vorname:

Middle Name / Weitere Vornamen:

Nickname / Rufname:

Birth Date/Geburtsdatum:__________________(DD/MM/YYYY) Gender/ Geschlecht: F M

City of Birth/Geburtsstadt: Country of Birth / Geburtsland:

Citizenship/Staatsbürgerschaft: Country of Residence/Aufenthaltsort:

Native Language(s)/Muttersprache(n):

Street and house number/Straße und Hausnr.:

City/Stadt: ___________________ Zip Code/Postleitzahl: _______________________________ Telephone & WhatsApp/Telefon & WhatsApp: _________ / _______ / _____________________________________________________

Country code /area code / phone number

Email/ E-Mail (please print): _________________________________________________________________________________________

Skype Name (please print): ___________________________________________________________________________________________

Emergency contact name / number: ___

• Have you ever lived or traveled outside your country? / Hast du schon jemals in einem anderen Land gelebt oder bist dorthin

gereist? Yes/Ja No/Nein If yes, when and where/Wenn ja, wann und wo?

• Have you ever lived in or traveled to Germany? / Hast du schon jemals in Deutschland gelebt oder bist dorthin gereist?

Yes/Ja No/Nein If yes, when, where and for how long? / Wenn ja, wann, wo und wie lange? • Why do you want to become an English tutor in Germany? / Warum möchtest du Englisch Tutor in Deutschland werden?

• List 3-4 of your own character traits which you think are useful for the tutoring position. / Nenne 3-4 deiner eigenen

Charakterzüge, von denen du denkst, dass sie für die Tutor Position nützlich sein können.

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B. HEALTH & BACKGROUND INFORMATION / HINTERGRUND & GESUNDHEITSANGABEN

Health status/ Gesundheitszustand:

Are you in good health? / Bist du gesund? Yes/ Ja No / Nein

If not, please explain. /Falls nicht, begründe bitte.

Do you take any medication on a regular basis? / Nimmst du regelmäßig Medikamente? Yes/ Ja No / Nein

If yes, which ones? /Wenn ja, welche?

Pets & Allergies:

Are you willing to live in a home with pets? / Bist du bereit mit Haustieren zu leben? Yes/ Ja No/ Nein

If no, please explain which pets you CANNOT live with and why. /Wenn nein, erkläre bitte, mit welchen Tieren, du NICHT

leben kannst und warum.

Are you allergic to any animals? / Hast du eine Tierhaarallergie?

Do you have any other allergies? / Hast du andere Allergien?

Diet • Do you follow a special diet? / Befolgst du eine besondere Diät? (i.e. Vegetarian, etc./z.B. vegetarisch, etc.)

Yes/ Ja No / Nein If yes, please explain: / Wenn ja, welche:

Please note: your host family is not required to prepare special meals for you. If you would like to eat certain foods, you must buy and

prepare those yourself. / Bitte beachte, dass nicht von der Gastfamilie verlangt werden kann, dass sie extra Mahlzeiten für dich

kochen, die sie selbst nicht essen. Wenn du etwas Spezielles essen möchtest, solltest du dies selbst kaufen und zubereiten.

Smoking:

• Do you smoke? / Rauchst du? Yes/Ja No/Nein Social Smoker /Gelegenheitsraucher

If yes: I agree not to smoke in the host family’s home. / Ich rauche nicht im Haus der Gastfamilie.

Yes, I agree/ Ja, ich stimme zu No /Nein

I agree not to smoke whenever I am with the children. / Ich rauche nicht im Beisein der Kinder.

Yes, I agree/ Ja, ich rauche dort nicht Nein/ No

Please note: most host families prefer non-smoking tutors. In addition, smoking is also not permitted while working with children. /

Bitte beachte, dass die meisten Gastfamilien nichtrauchende Tutoren bevorzugen und das Rauchen während der Arbeitszeit mit

Kindern verboten ist.

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Criminal Conduct Have you been convicted of or charged with a criminal offence? Yes/ Ja No / Nein

Wurdest du jemals verhaftet oder angeklagt?

If yes, what for? /Wenn ja, wofür?

Religious Affiliation:

• What is your religious affiliation?

• Religious Participation/Religionsausübung: Regularly/Regelmäßig Occasionally/Manchmal Never/Nie

• How often would you like to attend religious services while in Germany? / Wie oft möchtest du deine Religion in Deutschland ausüben?

Regularly/Regelmäßig Occasionally/Manchmal Never/Nie

I agree not to impose my religion on the host family and their children. Yes/Ja No/ Nein

Ich werde meine Religion nicht meiner Gastfamilie und deren Kinder aufdrängen.

C. EDUCATIONAL BACKGROUND/SCHULISCHER HINTERGRUND

Academic Education/Bildungsstand

High School Diploma/Mittlere Reife: (Date of graduation/Datum des Abschlusses)

Currently in College/Im Studium: _____________________________________________(Major/Type of degree /Fachrichtung)

Completed College/Abgeschlossenes Studium: __________________________________ (Major/Type of degree /Fachrichtung)

Vocational Training/Lehre: ___________________________________________________(Occupation /Berufsrichtung)

What are you currently doing (school, job, etc.)? / Was machst du momentan (Schule, Arbeit, etc.)?

Indicate the foreign language(s) you speak and the number of years you have studied each language.

Welche Sprachen sprichst du und seit wie vielen Jahren lernst du diese Sprache?

LANGUAGE/SPRACHE YEARS/JAHRE LANGUAGE/SPRACHE YEARS/JAHRE

Level of German / Deutschkenntnisse (it is not a requirement to have any German skills in order to participate in the program)

Fluent/Fließend

Advanced/Forgeschritten

Intermediate/Befriedigend

Basic/Grundkenntnisse

None/Keine

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D. FAMILY BACKGROUND/FAMILIENHINTERGRUND

Father/Vater Name/Name:________________________________ Occupation/Beruf:______________________________

Mother/Mutter Name/Name:______________________________ Occupation/Beruf:______________________________

Other relevant family members: / Andere relevante FamilLenmitglieder:

Name Gender/Geschlecht Age/Alter Relationship/Verwandtschaft

1. ____________________________ _________________ _________ _________________________________

2. ____________________________ _________________ _________ _________________________________

3. ____________________________ _________________ _________ _________________________________ 4. ____________________________ _________________ _________ _________________________________

Who do you live with / Mit wem lebst du? Both parents/beiden Eltern

Mother/Mutter

Father/Vater

Alone/allein Since/Seit:

Flatmates/in einer Wohngemeinschaft Since/Seit:

Other (e.g., dorm, etc./ Andere (z.B.

Studentenwohnheim)

____________________________________________________________

Living Conditions /Lebensumstände:

Do you have any pets? / Hast du Haustiere?

Dog/Hund Cat/Katze Other Pets/Andere Haustiere: What area do you live in? / In welcher Umgebung lebst du?

Urban/Städtisch Suburban/Vorstädtisch Small Town/Kleiner Ort Rural Area/Ländlich

E. INTERESTS & HOBBIES / INTERESSEN UND HOBBYS

Check all boxes that describe your interests and hobbies / Bitte markiere alle Kästchen, die deine Interessen und Hobbies beschreiben.

Drawing/Painting Writing Reading Photography Board Games Sewing

Computer Gardening Cooking Baking Dining Out Socializing

Travel Camping Animals Church Activ ity/Community Service Handcrafts

Drama / Theater Concerts Choir/Singing Playing instrument(s)

Aerobics Basketball Baseball Football Soccer Volleyball Bowling

Tennis Table Tennis Golf Bike Riding Running Skating Dancing

Swimming Fitness Gymnastics Martial Arts Hiking Watersports Horseback Riding

Sailing Skiing Snowboarding Other:

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F. HISTORY OF TUTOR AND / OR CHILDCARE EXPERIENCE

TUTOR UND / ODER KINDERBETREUUNGSERFAHRUNG Please describe your three most relevant experiences here / Bitte beschreibe hier deine drei relevantesten Erfahrungen:

Type of Experience: _______________________________ Reference Name: ____________________________________

Start Date: _______________ End Date: ______________ Ongoing

Day/ Month/Year Day/ Month/Year

Total number of hours gained at this experience / Gesamtanzahl der Stunden: _____________________________________

Please describe briefly your tasks and please list the gender & ages of the children (if possible, otherwise write group):

Beschreibe bitte kurz deine Aufgaben und nenne das Geschlecht & Alter der Kinder (wenn möglich, sonst schreibe Gruppe):

Type of Experience: _______________________________ Reference Name: ____________________________________

Start Date: _______________ End Date: ______________ Ongoing

Day/ Month/Year Day/ Month/Year

Total number of hours gained at this experience / Gesamtanzahl der Stunden: _____________________________________

Please describe briefly your tasks and please list the gender & ages of the children (if possible, otherwise write group):

Beschreibe bitte kurz deine Aufgaben und nenne das Geschlecht & Alter der Kinder (wenn möglich, sonst schreibe Gruppe):

Type of Experience: _______________________________ Reference Name: ____________________________________

Start Date: _______________ End Date: ______________ Ongoing

Day/ Month/Year Day/ Month/Year

Total number of hours gained at this experience / Gesamtanzahl der Stunden: _____________________________________

Please describe briefly your tasks and please list the gender & ages of the children (if possible, otherwise write group):

Beschreibe bitte kurz deine Aufgaben und nenne das Geschlecht & Alter der Kinder (wenn möglich, sonst schreibe Gruppe):

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G. TUTOR LETTER / TUTOR BRIEF

Your letter to the host family is the most important part of the application! It will allow the host family to get a

good first impression of you. Thus, put some effort into writing this letter.

Make sure to:

• describe yourself and your family (if you still live with them)

• talk briefly about past work experience that you feel is relevant to the tutoring position and

what you have enjoyed about it.

• Explain why you would like to become an English tutor in Germany and maybe even give a few

ideas of how you would go about teaching your language to your host children.

• Remember that a letter starts and ends with a salutation

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H. PHOTO COLLAGE / FOTO COLLAGE This photo collage is for your host family to gain a better understanding of your tutor experience & lifestyle.

Remember, first impressions count!

Follow these tips when creating your photo collage:

Include predominantly photos of yourself (minimum of four photos!)

Include photos of your family and friends

Write captions underneath each photo

Create a two- page photo collage (if possible)

Create your photo collage by using, e.g., Microsoft Word, Clip Art, iPhoto, iWork, etc. Please save the photo collage in a .doc or

.pdf format. However, if you decide to use a separate piece of paper to create your photo collage, make sure to scan it in color &

high resolution.

Dieses Fotoalbum ist für deine Gastfamilie, damit sie sich ein besseres Bild von dir & deinem Lebensstil machen können. Es

sollte daher vor allem Fotos von dir und deiner Familie und Freunden enthalten. Das Album sollte am besten 2 Seiten

umfassen und jedes Foto sollte eine kleine Bildunterschrift haben.

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Information Sheet for Participants in the Tutor Germany Program: Collection and Processing of Personal Data by Ayusa International e.V.

To be able to successfully place participants in the tutor program in Germany (hereinafter: program participants), and to fulfil the participation agreement, we, Ayusa International e.V. (hereinafter: Ayusa), must collect and process personal data from our program participants. With this leaflet we would like to inform you of the purposes and scope of the data handling and processing.

1. Contact for Data Protection Questions At any time, Ayusa program participants can direct questions regarding this leaflet and the data handling and processing to datenschutz@ayusa-germany.org.

2. Collection and Processing of Data from program participants The main purpose for the data collection and processing by Ayusa is the fulfilment of the participation contract. This means precisely that we or our foreign partner organisation collect personal data from program participants for the following purposes: Placement with a host family, organisation of travel to the host country, issuance of insurance, support of the program participant locally, or in emergencies. We will collect the data that we need as part of the application process. Depending on the partner organization, the application documents will either be made available to the program participant as an online form, via email, and/or the applicant will set up their own personal and password protected online access to the application documents. In addition, data will be collected through a personal, telephone or Skype interview and used for the fulfilment of the participation contract to the extent necessary. The application documents are to a large extent in English and German, which is necessary for placement with a host family and, among other information, also encompass questions concerning health status, religious belief, ethnic background, sexual orientation and criminal history of the applicant. For the host family search, Ayusa publishes certain parts of the application on the internet, e.g. first name, gender, age, nationality, living situation, eating habits, allergies, hobbies, childcare experience, references and a profile picture. The participant agrees that Ayusa is permitted to publish this information. Last names or contact details of either applicant or referees will not be disclosed.

3. Recipients of Data Recipients of the data are the partner organisations of Ayusa, host families, Ayusa representatives, visa and insurance authorities, and if necessary, government authorities in the home country. Contact data of the participant will also be shared after placement on a regional Ayusa contact list for other au pairs and tutors to get in touch with the participant and vice versa. In general, the data is only used for the specific purpose and to the extent required. A recipient will only receive the data needed to fulfil his or her specific task.

4. Entities Responsible for Data Processing The entity responsible for the collection and processing of the data is Ayusa. If data is transmitted to other entities (e.g., partner organisations, government authorities) they are also responsible for the protection of the data.

5. Retention Periods for Data

Ayusa only retains data concerning the program participant for as long as necessary for organisational reasons and as permissible under data protection law. Personal data and contract documents of the program participant are retained based upon statutory retention periods for up to 10 years after the regular conclusion of the tutor program.

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6. Collection and Processing Certain Types of Personal Data Ayusa must pose certain questions to participants in the tutor program regarding their criminal record, ethnic background, sexual orientation, as well as health in order to determine whether they can be placed with a host family. This includes, for example, the submission of a police clearance record as well as the disclosure of information on the participants’ general health status and pre-existing medical conditions. The health information will be collected through self-disclosure and medical records signed by qualified physicians. In individual cases participation in the program may not be possible due to health restrictions. As Ayusa cannot process certain types of personal data without the consent of the person concerned, the program participant 's consent is obtained during the application process and as part of the participation contract.

7. Processing Data for Advertising Purposes We also use data from program participants to inform about other program options with Ayusa. However, Ayusa, will never forward personal data of program participants to third parties for advertising purposes. The use of data for advertising purposes can, of course, be objected to at any time. The contact person for this is the email contact provided in section 1.

8. Right to Information and Right of Objection At any time, participants can request information about their data being stored with us. This is free of charge and participants do not need to provide a reason for their request. They can also have the data that was collected about them by us blocked, corrected or deleted at any time. Furthermore, program participants may also, at any time, revoke the consent given to us for the collection and processing of data without providing any reasons. The contact person for this is the email contact provided in section 1. We are available to our participants at any time for further questions regarding our information on data protection and the processing of their personal data. I hereby confirm that the information I have provided in my application and throughout the

application process are accurate. I have read and understood the country specific framework of the

tutor program in Germany and agree to adhere to these conditions. I have thoroughly and carefully

read the terms and conditions of the contract and the conditions of participation. I have had the

opportunity to ask questions and obtain advice as to its meaning. I have understood everything and

accept the terms and conditions of the tutor program. I am capable of reading and understanding the

above in English. I have retained a copy of this agreement for my files.

Date and Place: _______________________________________________

Name (type): _______________________________________________

Signature: _______________________________________________

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