1. Name (First Name, Middle Name, Family Name):  Birth Date (month/date/year): 

2. Address: 

3. City: 

4. State/Province: 

5. Postal Code: 

6. Country:  

7. Home Telephone:  

8. Work Telephone 

9. Fax:  

10 Email Address :   (Please do not forget to include your email address here!) 

11. What is your country of citizenship?  
(AATC Program can only serves citizens of Canada, UK, and USA due to the program locations)



12. If accepted for a position, my intention is to go:

a)  unaccompanied 

b)  accompanied  
    If you checked "b" please specify age and relationship of family members.
	


13. When do you want to begin your one-year teaching assignment?

	Late August 2008 

	February 2009 (Limited Positions)
	
	Late August 2009 

	February 2010 (Limited Positions)


14. Do you have computer knowledge and access to take the 9 week on-line TEFL training course?

 Yes

 No

15. Indicate the universities and colleges attended, dates of attendance, degree(s) and major.


	



16. Describe in detail any teaching experience you have had, especially as it relates to teaching English as a second or foreign language.   

	



17. List any activities or organizations in which you have participated that you think are relevant to teaching in this country.

	



18. List your overseas living and travel experience.  Indicate country and length of stay.

	



19. List the foreign language you have studied.  Indicate your level of proficiency (survival, intermediate, bi-lingual)

	



20. How did you hear about the Appalachians Abroad Program? (e.g., internet search, college placement office, professor, etc.)

	

In addition to the 500-word essay, you will also need to send by mail (Due date is March 31, 2008 for late August 2008 departure) to the address below: 1) your resume; 2) two to three reference letters from people who have direct knowledge of your qualifications for the teaching position ; 3) copies of college transcripts; 4) the $100 application fee (made payable to Marshall University Research Corporation; 5) copy of your college diploma*; 6) copy of your passport** and 7) two passport size photos.

* Copies of diploma and passport can arrive afterward if you currently have not obtained them yet.

** If you don’t have a passport at the time of the application, you must submit a copy of your driving license first. Copy of passport can arrive afterwards after you get your passport from the National Passport Center.

After we receive all of the above items, we will send you a letter notifying you of your full acceptance to the Teach in China program or a letter of conditional acceptance if we contact you for a phone interview appointment.

Thank you for your interest in the Appalachians Abroad Teach in China Program and, by the way, you do not need to be from the Appalachian region to apply to this program :-)

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