Katoh Gakuen Job Application

Katoh Gakuen Application Form

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Citizenship*
Birthdate*

MonthDayYear
Applying for Position*
How did you learn of this position?
Other positions for which you would like to be considered?
Earliest Date Available*

MonthDayYear
Date
List grade levels and subjects you are certified to teach.
State or province issuing teaching license.
Date of license expiration

MonthDayYear
Permanent License

Yes
Number of years of paid, full-time teaching experience AFTER receiving your teacher certification.
Highest level of educational degree awarded*

BachelorsMastersDoctorate
Do you have a ESL / TESL or related certification?

YesNoAnticipated
Do you have a criminal record in any country?*

YesNo
Family & Personal Information
Marital Status*

SingleSingle w/ partnerMarriedMarried w/ childrenEngaged
List all dependents and their age
List dependents who will be living with you.
Level of Japanese proficiency*

Little or noneBeginningIntermediateAdvancedNative
Current health status*
List any serious medical conditions for which you are currently receiving treatment.
Current medications*
List medications you are currently taking.
Describe any health issues you have experienced in the last three years*
List any serious medical conditions for which you have received treatment in the last three years.
Will you bring a pet?*

YesNo
What kind and how many?
How many cats, dogs, etc.?
Current Employer
Current Employer
List the current or most recent school you taught at
Immediate Supervisor

First NameLast Name
Current Supervisor E-mail
Supervisor Phone Number

Country CodeArea CodePhone Number
Does Katoh Gakuen have permission to contact this person for a confidential reference?

YesNo
Confidential Reference 1

This can be principal, an administrator, a department head or a direct supervisor.
Confidential Reference 1

First NameLast Name
Confidential Reference 1 E-mail
Does Katoh Gakuen have permission to contact this person for a confidential reference?

YesNo
Confidential Reference 2

This can be principal, an administrator, a department head or a direct supervisor.
Confidential Reference 1

First NameLast Name
Confidential Reference 2 E-mail
Does Katoh Gakuen have permission to contact this person for a confidential reference?

YesNo
Supporting Documents

Upload supporting documents here or send in a separate email.
Upload Photo

Upload Photo
Upload a recent photo of yourself. Photo size must be less than 2MB. Cancelof
Upload Resume

Upload Resume
No more than one document allowed Cancelof
Upload Copy of Diplomas

Upload Diplomas
No more than three documents allowed Cancelof
Upload Copy of Teaching Certification

Upload Licenses
No more than three documents allowed Cancelof
Upload Open References

Upload References
No more than three documents allowed Cancelof
Upload university transcripts (which contain courses taken towards your teacher certification

Upload Transcripts
No more than two documents allowed Cancelof
Video of Teaching

Browse Files
Upload a video of your teaching (OPTIONAL) Cancelof
Affidavit of truth

I understand that all information provided in this application shall be used only by Katoh Gakuen for employment purposes. I also affirm that all information provided in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or falsification may result in disqualification for the position or immediate termination. To complete your application click on the submit button below.
Should be Empty:

Katoh Gakuen Application Form

Family & Personal Information

Current Employer

Confidential Reference 1

Confidential Reference 2

Supporting Documents

Affidavit of truth