ITC Referee Form
ITC Referee Form
ITC Referee Form
APPLICANTS NAME:
The above named person has applied to participate in the ECIS International Teacher Certificate
(ITC).Your name has been given as a referee. In order to assist ECIS in the selection process, we
would very much appreciate your assessment of the teacher's competencies and skills as listed
below.
The ECIS International Teacher Certificate (ITC) has been developed to offer a high-level continuing
professional development (CPD) opportunity for accomplished teachers. Participants will bring to
the program excellent teaching and interpersonal skills. The purpose of the ITC is to help teachers
to enhance and demonstrate their effectiveness as a first class international teacher.
Applicants for the ITC will be accomplished teachers who have already demonstrated their
commitment to CPD and who now wish to develop further their skills as teachers in an international
context. It is an exemplary qualification for exemplary teachers.
Successful teachers who are awarded the ITC will be expected to act as mentors/coaches to future
participants.
Please complete this online form which will be kept on record with the applicant's details. An
electronic copy of your submitted form will be emailed to you.
ECIS very much appreciates your assistance in this. Thank you.
REFEREE DETAILS
FIRST NAME:
LAST NAME
TITLE
SCHOOL/WORK EMAIL :
* This needs to be a verifiable email address from your school, and not a personal address, i.e. not
Yahoo!, Hotmail or Gmail
NATIONALITY:
CURRENT SCHOOL:
COUNTRY:
JOB TITLE
MAILING ADDRESS:
Please include international dialing code
PHONE NUMBER:
MOBILE/CELL NUMBER
HOW LONG HAVE YOU
KNOWN THE APPLICANT?
IS YOUR SCHOOL AN ECIS
MEMBER?
YES
NO
Please rate the above named applicant for each of the competencies listed below.
A) TEACHING COMPETENCIES
Uses effective teaching methods to achieve objectives:
Provides positive support for students with special learning needs including the highly able:
Prepares lessons with clear objectives to ensure successful learning by all students:
Sets realistic and challenging targets for improvement and future planning:
Team player:
Effective role model for students and other staff through personal and professional conduct: