VolunteerTeachinginChina
Application Form

                                                     Application  Form   

First Name_________________________Last Name____________________________     

Age  _____________________________ Gender_______________________________     

Mailing Addr____________________________________________________________             

Email _____________________________ Current Job___________________________
     
Home Phone (            ) _______________ Cell/Phone(         )______________________     

Work Phone(             )________________ Fax (            )__________________________     

Race______________________________ Marital Statue_________________________     

Religion____________________________Major_______________________________
     
Degree_____________________________Date of Received______________________
     
1. When do you want to start your teaching in China? 



2.Do you have teaching license?  Yes____, No_____ 
   If yes, which state issued?  _________________  No.___________________________ 


3.What kind school you want to teach? 
    Primary____/Secondary____/High School___/College/University___ 


4. What kind subject you want to teach? 


5.Do you plan to take your family along to China?        Yes___,   No____ 
   If yes, please list below 
   Member1 Name___________________,  Age______, Relationship____________ 
   Member2 Name___________________,  Age______, Relationship____________ 
   Do you plan your child to take school in China?  Yes____, No_____ 

6. Have you ever been convicted of any crime(s)?   Yes____, No_____ 
    If yes, When   ________.     For what Charged?  



7.How long you plan to teaching in China? 
   1semester_______,  2semester________, summer___________ 

8.Salary request:  Month RMB_________  or Annual RMB_____________ 

9.What kind housing do you want? 


10. Your education background 


11. Your working background 


12.List your special interests, talent, art athletics, drama, music, etc 


13.Other request (Sample: car, phone, food, special city) 


I certify under penalty of perjury that I have provided complete and accurate responses to the items on this application. 

I further certify all official documents submitted in support of this application are authentic and unaltered records that pertain to me. 

I authorize release of any information submitted by me in connection with my application to any person, firm, cooperation, 

association or government agency, but only to verify or explain the information, obtain pertinent records, or in connection with

perjury proceedings. My signature certifies the accuracy and completeness of the information provided.  

Name:  __________________    Signature__________________ Date____________ 
        

                                                     Application  Form   

First Name_________________________Last Name____________________________     

Age  _____________________________ Gender_______________________________     

Mailing Addr____________________________________________________________             

Email _____________________________ Current Job___________________________
     
Home Phone (            ) _______________ Cell/Phone(         )______________________     

Work Phone(             )________________ Fax (            )__________________________     

Race______________________________ Marital Statue_________________________     

Religion____________________________Major_______________________________
     
Degree_____________________________Date of Received______________________
     
1. When do you want to start your teaching in China? 



2.Do you have teaching license?  Yes____, No_____ 
   If yes, which state issued?  _________________  No.___________________________ 


3.What kind school you want to teach? 
    Primary____/Secondary____/High School___/College/University___ 


4. What kind subject you want to teach? 


5.Do you plan to take your family along to China?        Yes___,   No____ 
   If yes, please list below 
   Member1 Name___________________,  Age______, Relationship____________ 
   Member2 Name___________________,  Age______, Relationship____________ 
   Do you plan your child to take school in China?  Yes____, No_____ 

6. Have you ever been convicted of any crime(s)?   Yes____, No_____ 
    If yes, When   ________.     For what Charged?  



7.How long you plan to teaching in China? 
   1semester_______,  2semester________, summer___________ 

8.Salary request:  Month RMB_________  or Annual RMB_____________ 

9.What kind housing do you want? 


10. Your education background 


11. Your working background 


12.List your special interests, talent, art athletics, drama, music, etc 


13.Other request (Sample: car, phone, food, special city) 


I certify under penalty of perjury that I have provided complete and accurate responses to the items on this application. 

I further certify all official documents submitted in support of this application are authentic and unaltered records that pertain to me. 

I authorize release of any information submitted by me in connection with my application to any person, firm, cooperation, 

association or government agency, but only to verify or explain the information, obtain pertinent records, or in connection with

perjury proceedings. My signature certifies the accuracy and completeness of the information provided.  

Name:  __________________    Signature__________________ Date____________