Application for Teaching/Working in China
First Name:
Last Name:
Gender:
----
Male
Female
Age:
Race:
[Select One]
White/Caucasian
African American
Asian/Pacific Islander
Hispanic
Other
Marital Status:  
[Select One]
Single
Married
Divorced
Widowed
Separated
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 an Bachelor's Degree or higher by the month of departure (not required for Summer jobs or internships):
Month
August
December
Year
2004
2005
2006
2007
2008
You should have a valid passport. Please enter your passport number here:
If you do not have a passport yet, please apply for one immediately from your main local Post Office.
When do you want to start your Teaching/Working in China?
Semester
Spring
Summer
Fall
Year
2004
2005
2006
2007
2008
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?
Have you ever been convicted of any crime(s)?
Yes
No
If yes, When?
 
(yyyy)
For what charge?