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DePaul UNIVERSITY
Application Form
STARTALK Arabic Teacher Program– 2009
Teaching Arabic with Technology
July 6 – 17 (first week on-site and second week on-line) / Office Use Only
Date Received
ID Number:
Course Number::
Course Grade:
CPDU:
Applicants for this course must meet the following requirements:
  • Are currently teaching Arabic or plan to teach Arabic during the 2009-2010 Academic year
  • Have strong language skills in Arabic and English
  • Completed one of DePaul StarTalk Methods courses (2007, 2008, 2009) or its equivalent
  • Type Arabic and has basic computer skills

Applicant’s Basic Information(Please type or print the information clearly)

Last Name: / First Name: / Middle Initial:
Title (Choose One) / Mr. / Mrs. / Ms. / Dr. / Other:
Birth Date (Month • Day • Yr) / Native Language(s): / Other Language(s): / Social Security Number:
Citizenship: / If other than a U.S. citizen and currently in the U.S., please indicate your visa status/type:
Permanent Address where currently residing and will be able to receive mail until September 30.
Number and Street:
City • State • Zip
(Area Code) Home Phone: / (Area Code) Office Phone: / (Area Code) Cell Phone: / Emergency Phone Number:
E-mail Address:
Are you currently teaching? / Yes / No
Do you use technology in the classroom for teaching Arabic? / Yes / No
If you are teaching, please specify the type of institution(s):
K-12:Specify grade level and subject currently teaching:
Community College
University
What is the name and address of your school, college, or university?
If it is a public school, indicate school district:
Do you currently hold a teacher certificate/license? Yes No
If Yes, for what subject(s) and grade levels are you licensed to teach, and in what state(s)?
Are you currently enrolled in a teaching degree or certificate program at DePaul or other university? ?Yes ?No
If yes, in which degree program, department, or university (name & address)?

Please read the following statement carefully,then sign and date your application:

If accepted to the 2009STARTALK Program, I agree to attend and participate in all classes and complete assignments required by the course professor(s). I understand that failing to do so could result in lowering my course grade, and not receiving my allowance and/or certificate of completion.

Signature: ______Date: ______

In addition to completing the DePaul STARTALK ArabicTeacher Program application form, please provide the following materials according to you course:

Requirements

  1. One essay in Arabic and one in English addressing: “A brief professional background; Why are you interested in taking the course? What plans do you have to use technology in the Arabic classroom? How do you perceive this course helping youteachArabic to your students?” (Please limit your essay to a maximum of 500 words).
  2. Current resume.
  3. The grant does not cover the cost of college credit, but will provide a small monitory stipend that can be used towards tuition. If interested in taking the course for credit, you, or your institution are responsible for registration, admission, and tuition. Let us know at the time of application and we will provide further details.

Note: Limited number of participants will be admitted to the program. Please send your application as soon as possible to ensure that you are considered for the program.

Return the completed application form and supporting materials postmarked by May 30, 2009 to:

Nesreen Akhtarkhavari, Ph.D.

Director of DePaul STARTALK Arabic Program

DePaul University

Modern Languages Department – Arabic Studies

802 West Belden Avenue

Chicago, IL 60614

E-mail:

The offering of this program by DePaulUniversity is contingent upon the receipt of an official grant award from the federal government. This grant award is currently pending funding.

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