EAC TeachUK Registration FormPlease enable JavaScript in your browser to complete this form.1. Applicant Personal InformationApplicant Name *FirstMiddleLastDate of Birth *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *FemaleMaleCountry of Citizenship *Country of Current Residence *Home Address *Address Line 1Address Line 2CityState / Province / RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail *Alternate EmailPhone *Contact Preferred Email *Contact Preferred Telephone *2. QualificationPlease list all degrees and teaching qualifications (e.g. PGCE / BEd / Masters / PhD etc.) and other relevant qualifications belowQualification and Subject in Order of Award *Result/Standard of the above Qualification *Dates of Attendance of the above Qualification *University / College / Organisation and Country *Examinations (for the first teaching appointment in a Local Authority - maintained School in England or Wales, please give details of 'A' Levels, GSCEs / Senior Secondary School Leaving Certificate i.e. List all subjects took, date, results/grade. You must include Maths and EnglishSubject *Date *Results/Grade *Please list any other Qualifications obtainedCourse and Organising BodyDateQualification3. Working ExperienceAre you a qualified teacher (TRCN)? *YesNoIf yes, what is the country of registration?Age range qualified to teachPlease list your work experience below (no more than four employers): Please note a full CV must also be submittedCompany Name and Address (including Country)Position in the company aboveStart and End Date in the company aboveNumber of years in the company above4. Confidential InformationTeachers in the UK are required to undertake an enhanced DBS check before the appointment. You are required, therefore, to disclose any convictions, caution or binding over, including "spent conviction". Disclosure of a criminal record background will not necessarily debar you from employment - this will depend on the nature of the offense (s) and when they occurred. Non-disclosure may lead to termination of employment.Convictions or cautions (including spent convictions) - you are obliged to detail these belowNoneI can confirm that I am not disqualified from working with children or subject to sanctions imposed by a regulatory bodySigned (typed signatures are acceptable) *Date *5. Teach in the UK additional information:Do you have proof of competency in English (IELTS, TOEFL or other? *YesNoIf yes, date of testPreferred Relocation date (please select) *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberPreferred age range to teach: *Preferred subject(s)DeclarationBy submitting this form to Educational Advancement Centre, I declare that the information provided by me on this application form is correct to the best of my knowledgeI understand that if I give any information which is later found to be false, or I withhold any relevant information, this may lead to me becoming ineligible to apply to teach in the UKBy signing this form or typing your name you are confirming that you have read, understood, and agreed to the above declaration.Signed (typed signatures are acceptable) *Date *Terms and Conditions:By submitting this form I agree to the following terms and conditions:Agree that the consultation and administrative fees are non-refundable regardless of the outcome of the application(s).Agree that all information provided to Educational Advancement Centre is true and accurate.Agree to promptly update Educational Advancement Centre with changes in the information provided.Agree that the terms of this service agreement are binding and shall be governed by, and in accordance with the UK Law; any disputes there under shall be subject to the jurisdiction of British Courts.Applicant Signature *Date *Submit