ACTFL

American Council on the Teaching of Foreign Languages

Discover Russian Summer Professional Development Program Teacher Application Form

This application has two parts:

Part I: Application Form (complete below)

Part II: Administrator or Supervisor Recommendation (PDF)

Complete Part I of the application online. Print out Part II and ask a current administrator or supervisor to fill it out, sign it and send to the following address by April 19, 2013:

ACTFL Discover Russian Summer
Professional Development Program
1001 N. Fairfax St., Suite 200
Alexandria, Virginia 22314

Questions? Email Natasha Ushakova or call: (718) 356-7373 or cell (347) 267-9826.

This program is sponsored by The American Council on the Teaching of Foreign Languages (ACTFL) in cooperation with Glastonbury Public Schools (CT) and Fairfax County Public Schools (VA).

Applicant's First Name *

Applicant's Last Name *

Home Address *

City *

State/Province *

Zip/Postal Code *

Gender *

Home Phone *

School/Work Phone *

Email *

Current School or Work Position *

Courses taught in 2012-2013 (if applicable)

I participated in this program last year. *

Please indicate your t-shirt size: *

Language Teaching Experience (please list schools/dates, and courses taught)

Briefly state in English why you are interested in participating in this program and what you hope to gain from the experience. *

Please indicate if you will need housing. *

Emergency Contact (name and phone number) *

Indicate which program you prefer, if you'd like to be considered for both programs, please select "Either":

Preferred Program Location: *

Name on Badge (if different)

I will need daily transportation. *

I understand that I must also submit a completed Administrator/Supervisor Recommendation form.

ACTFL

American Council on the Teaching of Foreign Languages

About ACTFL

Discover Russian Summer Professional Development Program Teacher Application Form

This application has two parts:

About ACTFL

Conventions

Membership

Professional Development

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News