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GLP 2016 STARTALK Program Application
Name
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First
Last
Email
*
Phone
*
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Preferred Contact Method
*
Please select
Email
Phone
Language
*
Please select
Mandarin
Arabic
Russian
Korean
Urdu
Other
If other, please write language here:
Have you participated in a STARTALK program previously?
*
Please select
Yes
No
If yes...
In which program(s) did you participate?
Have you or will you attend any additional STARTALK trainings this year?
*
Please select
Yes
No
If yes...
Where and what trainings?
Are you currently in a teacher training program?
*
Please select
Yes
No
If yes...
At which university are you studying?
In which program are you enrolled?
Are you currently teaching?
*
Please select
Yes
No
If yes...
Where do you teach?
What grade(s) do you work with?
How many years have you been teaching?
If no, but have taught in the past...
Where did you teach?
What grade(s) did you work with?
How many years did you teach?
Are you interested in applying for a partial scholarship to enroll in a Fall semester three-credit course at Queens College in articulated curriculum design?
*
Please select
Yes
No
Do you have access to a laptop computer that you could bring to the STARTALK summer program?
*
Please select
Yes
No
How did you hear about the GLP STARTALK summer program?
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Why are you interested in attending the GLP Summer 2016 Teacher Training STARTALK Program? Be as detailed as possible.
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Please attach your resume
*
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