Counsellor Application Form

Please fill in the form and send it via e-mail to: [email protected] photograph or to Sabine Görner, Werderstraße 35, D-19055 Schwerin, Germany - together with a photograph of yourself!

Once you have been chosen for the team, we will need:  a current visa or work permit (if non-EU citizen)  a police check (max. 1 year old)  a first aid certificate (max. 1 year old)  a copy of your passport

Last name: First name: Nationality: Sex: Date of birth (dd/mm/yy): Permanent address: Temporary address: E-mail address: Skype name: Telephone no.: Mobile no: Native language: Other languages (level?): Highest qualification earned at school: Current job and/or study programme: Subjects at university: Final university finishing date: Exact dates of university break, if you want to come during the break (important for a certain work allowance for students outside the EU): TESOL, TEFL, ESL certificates: Other qualifications (first aid, life guard): Do you have any teaching experience with horse-riding, climbing, canoeing, team games etc.? Experience working as a camp counsellor (list): Experience as a participant at a camp (list): Experience working with children (list): Experience teaching (list): Experience abroad (list): Previous 2 jobs (list/reference):

LEOlingo GmbH & Co. KG Persönlich haftende Gesellschafterin: LEOlingo Northern Germany Sitz 92369 Sengenthal LEOlingo Verwaltungs-GmbH Coordinator Sabine Görner Amtsgericht Nürnberg Sitz 92369 Sengenthal Werderstraße 35, D-19055 Schwerin HRA 14576 Amtsgericht Nürnberg, HRB 23431 Tel.: 0049-385-5815430 www.leo-lingo.de Geschäftsführer: Andrea Bär, Sabine Görner Mail: [email protected] Other relevant work experience: Hobbies/special interests: Do you have a certificate of enrollment as a student, which is valid at least until the end of camps? Do you have an international insurance policy for accidents / illness / hospitalisation? If not, are you willing to obtain one so that you are covered in case of illness/injury? If you are not an EU citizen or student within the EU, do you have a work permit or a working-holiday-visa for Germany? Anything a host family needs to know (food allergies, vegetarian, problems with animals, smoker/non-smoker)? Are you afraid of heights (there is a camp with a high-ropes course)? Are you an outgoing person or are you more reserved (with adults/kids)? Would you prefer to either 1. Stay with a host family, or 2. At the campsite with the kids (in a separate room)? Would you prefer to either 1. Travel at weekends and be responsible for your own accommodation/transport or 2. Stay at the campsite/host family of the week before/after? Would you prefer working with young children (7 to 10 years) or older children (11 to 15 years)? Why? If you were responsible for the evening programme at an overnight camp for 5 nights, what activities would you do (Give examples)? For the following criteria, please rate yourself on a scale of 1 to 5 (5 being very good and 1 being very poor) Ball games (please specify different kind of ball- or team games) Other sports (please specify) American football Rugby Baseball Cricket Canoeing Windsurfing Horse riding Climbing Arts and crafts Theatre Camp songs

LEOlingo GmbH & Co. KG Persönlich haftende Gesellschafterin: LEOlingo Northern Germany Sitz 92369 Sengenthal LEOlingo Verwaltungs-GmbH Coordinator Sabine Görner Amtsgericht Nürnberg Sitz 92369 Sengenthal Werderstraße 35, D-19055 Schwerin HRA 14576 Amtsgericht Nürnberg, HRB 23431 Tel.: 0049-385-5815430 www.leo-lingo.de Geschäftsführer: Andrea Bär, Sabine Görner Mail: [email protected] Pop songs Language games Dealing with new situations Dealing with difficult and stressful situations Talking in front of a big group Being funny/silly - being able to laugh at yourself Dealing with criticism Patience Self confidence Open mindedness Organisational skills Independence Hard working Reliability Punctuality Tidiness Please rate the following reasons for your interest in working a summer job in Germany (5 being very important and 1 being not at all important) Earning money Gaining work experience Being abroad Other reasons (please explain) Where did you hear about LEOlingo? Are you available from June 29th to August 17th 2018?

LEOlingo GmbH & Co. KG Persönlich haftende Gesellschafterin: LEOlingo Northern Germany Sitz 92369 Sengenthal LEOlingo Verwaltungs-GmbH Coordinator Sabine Görner Amtsgericht Nürnberg Sitz 92369 Sengenthal Werderstraße 35, D-19055 Schwerin HRA 14576 Amtsgericht Nürnberg, HRB 23431 Tel.: 0049-385-5815430 www.leo-lingo.de Geschäftsführer: Andrea Bär, Sabine Görner Mail: [email protected]