Please complete the following form if you would like to make an application to become a tutor for our part-time leisure (Love2Learn) courses. 1. Personal DetailsName* First Last Address Street Address Address Line 2 City ZIP / Postal Code Phone*Email* Nationality*2. ProfileProfileGive a brief explanation of why you believe you have the relevant skills, attitude and experience to deliver one of our courses:3. Qualifications and ExperienceTraining ExperienceOrganisationSubject DeliveredDate Including one to one sessions and small group workshops. In chronological order please.Employment HistoryEmployerPostStart DateEnd Date Over the last five years.Academic or Professional QualificationsQualificationSubjectDate AwardedGrade/Level Achieved Please list chronologically.Training or Teaching QualificationsQualificationSubjectDate AwardedGrade/Level Achieved Please list chronologically.4. DeclarationDeclarationBy submitting this form you are indicating your understanding and acceptance of the following provisions: • To the best of your knowledge the information you have given on this form is correct. The provision of false information may result in your CV being withdrawn. • Under the Rehabilitation of Offenders Act 1974 (if it applies to the post for which you are applying) you agree to complete a CRB check and cover the cost (£46 including administration). Failure to disclose any convictions may result in the cessation of work. • You consent to the processing of your data for the purposes described in the ‘Data Protection’ section of this form. Do you require a work permit to work in the UK? Do you have evidence of your entitlement to work in the UK?