Personal Information:
Surname :
First Name :
Sex :
Date of Birth :
Place of Birth :
Mother Tongue :
Citizenship :
Marital Status :
Present Address:
Email :
Telephone :
Fax :
Passport #
Expiration :
Education & Teaching Background:
Bachelor’s Degree (major) :
Master’s Degree (major) :
Ph.D. (major) :
Full-time Teaching Experience :
(where & years)
Emergency & Permanent Contact:
Name :
Relationship :
Telephone :
Email :
Fax :
Available to start:
Immediately
(check all that apply)
September
January/February
Summer only
I am going to China:
by myself
with another person (eg spouse, child)
Relationship to you:
Contract term preferred:
1 year
2 years
1 semester
Summer program only
I declare that the information I have given in this application is truthful, complete and correct.
Date :
Your Full Name:
for more information,
Call: 1-416-369-9992 (Toronto)
E-mail:
wei@chinateaching.com
Summer Program
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