Please use this form to apply to any of our current programs. If you have difficulties, please contact us.
Note: This information will be used to contact and mail materials to you. It will not be used for any other purposes.

Name:
(Please type your name exactly as it appears on your passport)
First: Middle: Last:

Gender:
male
female

Applying for: Summer English Teaching Program Long Term English Teaching Program Chinese Language Immersion Program Academic Touring Program Other(Please specify below)

1. Contact Information
( If any of this information will change please let us know in the "Personal Comments" section. )

Street Address:
City: State:
Zip Code:
Home Phone: Other Phone:
E-mail:
Please re-enter E-mail:

In an emergency, we should contact:
Name:
Phone:
E-mail:
          
          

2. Background

Date of birth:
Place of birth:

3.Sources
How did you hear about us? Flyer/Poster Internet Newspaper Friend Recruiter
Name of the person who referred you:

4. Short-Answer Questions:

Have you ever traveled out of the US before, where and how was the experience?

How can you be a good teacher? Please share some of your ideas toward education:

Why do you want to do this program and what are your expectations?

Personal Comments(Optional):


5. Resume:
On Resume please include:

Personal photograph
Education history
Work history
Volunteer history
Two professional references
(Note: Recommendation letters are not necessary for the summer program)

Attachment 1:
Attachment 2:
Attachment 3:

Note: Some large attachments may have trouble being sent. If you have any trouble filling out the application or attaching the resume or photo please copy and paste your responses, your resume or your photo and send them by email to applications@act-center.org