Application for Teaching/Working in China

First Name:            Last Name:              Gender:
Age:            Race:             Marital Status:  
Citizenship


Street Address:         City:           State:  
Zip/Postal Code:             Email Address:  
Home Phone:       Work Phone:           Cell Phone:  


University Attended:         Major:  
Degree:         Date That You Received It:   (mm/dd/yyyy)


Do you wish to earn college academic or internship credits from this program?   Yes     No
If yes, your Current Degree Program:       Department:       University:
Your preferred airport of departure:


The following is our basic requirement for the Teaching/Working in China Program:
 
  • You should be a Native English Speaker for teaching English. (If not, please list your native language here: You will be considered for teaching your native language in China.
  • You should be in good health;
  • You should have a Bachelor's Degree or higher by the month of departure (not required for Summer jobs or internships):    
  • You should have a valid passport.
    If you do not have a passport yet, please apply for one immediately from your main local Post Office.


What program do you want to participate in? (check all that apply)

When do you want to start your Teaching/Working in China?        

Do you plan to take your family along to China?         Yes     No
If yes, please list their names, ages, degree (s), and relationships to you:
  Name Age Relationship to You Degree received
Family Member 1
Family Member 2
Family Member 3
Family Member 4

From what sources(s) did you hear about the Teaching/Working in China Program?    

If other, please specify:  


Have you ever been convicted of any crime(s)? Yes No
If yes, When? (yyyy)
Notes: