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AY24-25-OPEN-Application-Form-Dyn

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19 views

AY24-25-OPEN-Application-Form-Dyn

Uploaded by

msedeqi03
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AY 2024 - 2025 OPEN PROGRAM APPLICATION

PLEASE EMAIL YOUR APPLICATION TO [email protected]

APPLICATION DEADLIME: January 15, 20025

Course: (Please choose the course you would like to apply for)
PERSONAL INFORMATION
First Name (Given): Middle Name: Family Name (as listed on passport):

Country of Residence: City/Town of Residence:

Are you a citizen of the country of residence? ☐ Yes ☐ No

Will you be living in your country of citizenship, during the OPEN course? ☐ Yes ☐ No
Email Address: (Please use your own email address.) Phone Number: [country code] [area code] [local number]

EMPLOYMENT
School/Institution: Address:

What is your role? (Check as many boxes as apply.)


☐ Pre-service Teacher ☐ Pre-Service (ENS Student)

☐ In-service Teacher (Primary) ☐ Administrator

☐ In-service Teacher (Secondary) ☐ School Director/Principal

☐ Tutor ☐ Curriculum Developer

☐ Former English Access Program Teacher ☐ University Professor/Lecturer

☐ Former English Access Program Administrator ☐ Other _____________________


EDUCATIONAL BACKGROUND

Please assess your present English language proficiency. (Select one for each)
Understanding of written English ☐ Excellent ☐ Good ☐ Fair
Expressing yourself in written English ☐ Excellent ☐ Good ☐ Fair
Please respond to the following statements by selecting one of the boxes.

I have taken an online course before. ☐ Yes If “Yes” when & what course:
☐ No
I have regular and reliable access to high-speed ☐ Yes ☐ No
internet connection.
I commit to spending 8 to 10 hours online each ☐ Yes ☐ No
week for the duration of the 8-week course to
participate in this course.
Please assess your computer skill level. (select one) ☐ Excellent ☐ Good ☐ Fair
Please tell us who recommended this program to
you.

How will you share the information you will learn with your colleagues after the completion of the
course? Check as many boxes as apply and explain.
☐ Workshops _______________________________________________________
☐ Presentations _______________________________________________________
☐ Informal discussions _______________________________________________________
☐ Sharing of resources _______________________________________________________
☐ Other _______________________________________________________
STATEMENT OF PURPOSE
Write a response to one or all of the following question(s). You can add a page, if necessary. We are
interested in getting to know you as a candidate, so please include examples from your personal
experiences.

Personal History
Tell us about a recent opportunity for professional development. What did you learn? How did you use
your learning experience in your English language teaching?
Reflection
Why did you choose the OPEN global online courses you selected? How do these courses meet your
needs for professional development right now?
Application
How do you plan to use the knowledge you acquire in the OPEN global online courses you selected?

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