Ontario Ministry of Education

Ministère de l’Éducation d’Ontario

Ontario Modern Language Teachers’ Association

Association ontarienne des professeurs de langues vivantes

**Submit completed application and/or questions to: **

PROJET À QUÉBEC - SUMMER 2014

APPLICATION FORM

CANDIDATE INFORMATION

First name / Last name
Address / City / Province / Postal code
Home Phone No. / Work Phone No. / Email Address (must be attainable during summer)
Are you currently teaching CORE French? YES (Since______) NO % time _____
Mother tongue: ______Previous schooling in French (elementary or secondary) ______
Have you applied to or participated in the program before? YES NO When? ______

PROFESSIONAL TEACHING EXPERIENCE

(Please list most recent teaching assignments first)

BOARD OF EDUCATION / SCHOOL / CORE FRENCH
GRADES TAUGHT / % of SCHOOL DAY SPENT TEACHING CORE FRENCH / MONTH/YEAR
(FROM/TO) / PRINCIPAL’S NAME AND PHONE NUMBER

EDUCATION:

School City and Province

Secondary:______

Post Secondary:

University/College
City / Degree (s) / Years Attended / Major / Minor

PERSONAL REFERENCES

(Give the names of 3 persons, NOT former employers or relatives, who would provide a personal reference for you)

Name: / Occupation: / Telephone:
Address:
Name: / Occupation: / Telephone:
Address:
Name: / Occupation: / Telephone:
Address:

For employment references, may we approach your present/past employer (s)? YES _____ NO _____

Name of Board: ______OTF Affiliate Membership:______

DECLARATION:

I certify the statements made by me in this application are true and complete to the best of my knowledge. I understand if any of these statements are untrue this application may be rejected or rescinded.

______

(Signature of Applicant) (Date)

Please returnby April 12, 2014, the signed and completed application form, a copy of your Ontario Teacher’s Certificate, a reference letter from your current principal or school board language coordinator and a cover letter explaining why you would like to participate in “Projet à Québec” and how this experience will benefit your students. Send all documents to the OMLTA/AOPLV via email Attention: Projet à Québec.

Incomplete applications will not be considered

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Ontario Ministry of Education/Ministère de l’Éducation d’Ontario

Ontario Modern Language Teachers’ Association / Association ontarienne des professeurs de langues vivantes