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2007 China ESL Summer Program Application Form

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<strong>2007</strong> <strong>China</strong> <strong>ESL</strong> <strong>Summer</strong> <strong>Program</strong> Teacher Recruitment Portfolio<br />

<strong>2007</strong> <strong>China</strong> <strong>ESL</strong> <strong>Summer</strong> <strong>Program</strong> <strong>Application</strong> <strong>Form</strong><br />

Personal Information (print exactly as shown on your passport)<br />

LAST NAME FIRST NAME MIDDLE NAME GENDER<br />

M<br />

HOME ADDRESS CITY, PROVINCE POSTAL CODE<br />

F<br />

HOME PHONE WORK PHONE MOBILE PHONE<br />

FAX<br />

E-MAIL<br />

Academic/Professional Training<br />

UNIVERSITY/COLLEGE DEGREE/CERTIFICATE/DIPLOMA MAJOR/MINOR/SPECIALTY<br />

_________________________ ______________________________ _____________________________<br />

_________________________ ______________________________ _____________________________<br />

_________________________ ______________________________ _____________________________<br />

Teaching Experience<br />

No. of Years<br />

Grades & Subjects<br />

ELEMENTARY SCHOOL ___________ ____________________________________________________<br />

SECONDARY SCHOOL ___________ ____________________________________________________<br />

OTHER ________________________________________________________________________________________<br />

_______________________________________________________________________________________________<br />

Other qualifications<br />

Present Employer<br />

Current Position


Hobbies, Interests, Community & Volunteer Work<br />

<strong>2007</strong> <strong>China</strong> <strong>ESL</strong> <strong>Summer</strong> <strong>Program</strong> Teacher Recruitment Portfolio<br />

Is there any other pertinent information that you would like to share<br />

The above information will be used by New Century Education Services of Canada only<br />

and will not be disclosed to unauthorized third parties.<br />

Please attach C.V and $ 250 deposit with this application form and submit to:<br />

New Century Education Consulting Services of Canada<br />

63 Dundurn St. S. Hamilton ON L8P 4J9<br />

Tel: (905) 577-6260 Fax: (905) 525-0499 Toll-free: 1-866-266-1726<br />

Website: www.n-century.net<br />

E-mail: ncentury@n-century.net<br />

OFFICE USE ONLY:<br />

Date <strong>Application</strong> Received __________________________________<br />

Deposit Payment _________________________________________________<br />

School Placement in <strong>China</strong> _________________________________________<br />

Date of Departure _________________________________________<br />

Duration of Teaching ____________________________________________________

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