THE FULBRIGHT ENGLISH TEACHING ASSISTANT PROGRAM
HOST INSTITUTION APPLICATION FORM (Academic Year 2018-2019)

Please note that this form must be completed in English. Forms in Mongolian will not be considered.

1. Name of applying institution:

2. Address of applying institution:

3. Name of Department to host the ETA:

4. Name of ETA Mentor:

Title:

Phone (office, cell):

Email Address:

5. Name of ETA Co-teacher:

Title:

Phone (office, cell):

Email Address:

Name of ETA Co-teacher:

Title:

Phone (office, cell):

Email Address:

6. Name of individual who’ll be in charge of ETA’s visa matters:

Title:

Phone (office, cell):

Email Address:

7. Brief Description of the department, including but not limited to an estimated number of intermediate or above level students and English language teachers in the 2018-2019 academic year, variety of degrees and majors offered, strengths and weaknesses, etc.

8. Statement of Need:Please explain why your institution needs an ETA, how it is better suited to receive an ETA than other institutions, and describe you institution’s interest in American culture and English language learning, etc.

9. Attach a Letter of Support from the university/school director thatacknowledgesthe designation and rolesof the above mentioned ETA mentor, co-teacher(s), and visa assistant for the duration of 2018-2019 academic year if successfully selected.

10. Housing: Institutions wishing to host an ETA are required to provide housing to the ETA for the entirety of the grant period (from end of August 2018 through early June 2019). The housing must:

  1. Be in or in close proximity to the host institution or downtown Ulaanbaatar (if the institution is not in UB, the housing must be close to the main center of the town)
  2. Be fully-furnished, including easy access to kitchen and laundry appliances
  3. Have running water and heating system
  4. Have reliable electricity and internet
  5. Meet basic security standards, including, but not limited to:
  6. A solid and secure door;
  7. Good lighting inside and outside;
  8. Access the housing at any hour any day of the week;
  9. An alternate exit access in case of emergencies.

11. Office: Institutions are also required to provide a working space for the ETA in the host department’s teacher’s room - a desk witha computer, a printer and a copier, Internet access, as well as access to existing course curriculum and lesson plans. The ETA shall also be supplied with printing paper, pens and pencils, markers, paper clips, a stapler, and given access to school library and faculty resources.

12. Please indicate if your institute will be able to provide all support mentioned in 4, 5, 6, 10, and 10:

Yes, we will provide all support mentioned in 10.A. and 10.B.
No, we are unable to provide these supports

Complete application must be submitted to
by 8:30 a.m. on Monday, February 12, 2018 at the latest.