2007 China ESL Summer Program Application Form
2007 China ESL Summer Program Application Form
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 ____________________________________________________