TeacherTrainee Application Form
Summer Institute for Florida Teachers of Chinese

August 1– 19 (9:00am-4:00pm), 2011

University of South Florida

Department of World Languages & Confucius Institute

To apply for the teacher workshop, you will need to provide the following:

(1) Completed application form (below); and

(2) Two reference letters (see the Reference Form below).

We will contact each finalist to schedule a live or phone interview. If you have any questions regarding this program, please contact us at .

1. Personal information

Name ______Date of Birth (D)/ (M)/ (Y)/

Place of Birth (City, State, Country) ______

Sex: Male ___ Female ___

Home Address______

City ______Zip Code ______County______

Telephone (home) Cell Phone______
E-mail address (Please print clearly) ______

Are you legally able to work in the U.S.? Yes ___ No ___

Your immigration status: U.S. citizen ____ Permanent Resident ____ Other ____

2. Language background

List allcourses you have taken related to Chinese language and culture:

Course Title / School / Dates Taken / Credits Received

Have you ever lived or studied in a country other than the U.S.? Yes ___ No ___

If yes, where and for how long?

Your highest degree and the time/place received ______

3. Experience in teaching/tutoring Chineselanguage (Begin with current or most recent)

School / Dates / Materials Used / Levels Taught/Tutored

*Please indicate above if you have taught non-heritage students.

4. Self-Evaluation: Please rate yourself by checking the appropriate box.

Outstanding / Very good / Good / Fair
Motivation
Ability to adapt to new & different environments
Organization
Ability to express yourself in English
Ability to work independently

5. Statement of Understanding

The University of South Florida provides intensive Chineseteacher training from August 1-19, 2011. I understand that the teacher position requires a full-time commitment during the above program period. I understand that I need to pay a registration fee that covers a small portion of the tuition cost for the college credits I will receive from USF. I fully understand the nature of this program and will abide by its requirements and guidelines. I also understand that submitting this application does not guarantee my recruitment into the program.

Signature______Date ______

6. Statement of Affirmation

I affirm that the information I have provided on this application form and any additional information I submit is complete, accurate, and true to the best of my knowledge. I understand that furnishing false or incomplete information on any part ofthis application material or other related materials may result in cancellation of admission to the program.

Signature ______Date ______

7. Reference Form

Please ask at least one person to complete the reference for you using the form provided below. Family members may not provide these references.

Name of Referee / Contact information (Phone # and Email Address)

If you are submitting the reference yourself, make sure the referee sign across the seal of the envelope. Please fill out the top portion of the reference form before giving it to your referee.

Please submit your completed application anda check of $200 (payable to the University of South Florida) for registration to the address below. If you are not accepted into the program, your registration check will be returned.

University of South Florida

Confucius Institute

4202 East Fowler Avenue, CGS101

Tampa, FL 33620

For questions, please contact us at .

Please note that priority will be given to applicants whose Application and Reference Form are receivedon or before April 22(Friday), 2011.

Reference Form for TeacherTrainee Applicant
USF Chinese Teacher Training Institute

August 1-19, 2011

University of South Florida

Department of World Languages & Confucius Institute

TO BE COMPLETED BY APPLICANT

Applicant’s Name: ______

Indicate below whether you waive the right to check the references to be provided to you. Check only one of the spaces below.

I waive my right to view this reference. ____
I do not waive my right. ____

Signature______Date ______

TO BE COMPLETED BY REFEREE

The above individual is applying to the USF Chinese Language Teacher Training Institute. This is a highly intensive program that will require motivation and skills on the part of the applicant and will require that the applicant teach Chinese language and culture to non-heritage students during the period of August 1-19, 2011. Please consider these requirements as you fill out this reference form.

1. How long have you known the applicant and in what capacity?

2. Please rate the applicant in the following areas according to the scale below.

5 (very high)4 (high) 3 (average)2 (low) 1 (minimal)X (unknown)

Analytical ability5 43 2 1X
Creativity5 43 21X
Level of commitment5 43 21X
Patience5 43 21X
Discipline5 43 21X

Emotional stability5 43 21X

3. Please comment on the applicant’s ability in Chinese and/or English depending on the context in which you know the applicant. Any additional comments that you can provide about the applicant would be greatly appreciated. If you prefer, you may attach an additional sheet with your comments.

Please return this form to the applicant in an envelope with your signature across the seal, or if you prefer, mail or email it to:

University of South Florida

Confucius Institute

4202 East Fowler Avenue, CGS101

Tampa, FL 33620

For questions, please contact us at

Please note that priority will be given to applicants whose Application and Reference Form are received on or before April 22 (Friday), 2011.

To be completed by referee:

Your Name: ______

Title: ______
Affiliation: ______
Address:______City: ______
State: ______Zip Code: ______
Phone: ______E-mail: ______
Signature: ______Date: ______

If you have questions about the teacher application form or reference form, please contact us at .