![](media/image1.jpeg){width="2.25in" height="1.2847222222222223in"}

Teaching Excellence and Achievement Program (TEA)

*A program of the Bureau of Educational & Cultural Affairs (ECA),*

*U.S. Department of State*

## APPLICATION MATERIALS

The U.S. Department of State announces an open competition for
secondary-level teachers of English as a Foreign Language and social
sciences for the Teaching Excellence and Achievement Program (TEA). TEA
will bring outstanding secondary teachers from Eurasia, South Asia,
Sub-Saharan Africa, and the Western Hemisphere to the United States for
a 6-week professional development program that seeks to:

-   Enhance teachers' expertise in their teaching discipline and equip
    them with a better understanding of best practices in teaching
    methodologies, lesson planning, and the use of technology in
    teaching.

-   Create among educators a better understanding of the U.S.

-   Develop lasting relationships and mutual understanding between U.S.
    and international teachers and their students.

-   Contribute to improving teaching in participating countries by
    preparing participants to serve as teacher leaders who, upon
    returning home, will apply their knowledge and share their
    experience and skills with their peers and students.

## Please return completed applications to:

**Cultural Section, American Embassy**

**Km. 5.5 Carretera Sur, Managua, Nicaragua**

Fax: 252-7108

Telephone: 252-7100 x 7609, 7342

Email: Fulbrightmng@state.gov

##### Note: Applications are also available on-line at http://www.irex.org/programs/tea/index.asp

**Deadline: 5:00 p.m., NOVEMBER 3, 2008**

This program is administered by IREX (the International Research &
Exchanges Board)

![](media/image2.png){width="0.3958333333333333in"
height="0.6979166666666666in"}

***[Program Overview]{.smallcaps}***

The Teaching Excellence and Achievement Program (TEA) will provide 105
secondary school teachers from Eurasia, South Asia, Sub-Saharan Africa,
and the Western Hemisphere with unique opportunities to develop
expertise in their subject areas, enhance their teaching skills, and
increase their knowledge about the United States. The international
participants will travel to the United States in fall 2009 to
participate in a 6-week professional development program at a U.S.
university. The professional development program will include coursework
and intensive training in teaching methodologies, lesson planning,
teaching strategies for the participants' home environment, educational
leadership, as well as the use of computers for Internet, word
processing, and as teaching tools. The 6-week program also will include
a 2 to 3-week internship at a secondary school to actively engage
participants with American teachers and students. Trips to U.S. cultural
sites and academic support will be provided for participants throughout
the program.

In spring 2010 a cohort of 40 U.S. teachers will reciprocate the visits
of the international teachers in selected countries. Each U.S. teacher
will be hosted by a TEA alumni school in the participating country where
they will team-teach as well as discuss best teaching practices,
curriculum, and educational issues in the host country. The U.S.
teachers' trip will be fully funded and will include visits to local
schools, parent committees, nongovernmental organizations (NGOs), and
local government offices.

Also, TEA will provide follow-on grants to the international teachers to
purchase essential materials for their schools, to offer follow-on
training for other teachers, and to conduct other activities that will
build on the exchange visits.

***[About the Bureau of Educational and Cultural Affairs, U.S.
Department of State]{.smallcaps}***

The Bureau of Educational and Cultural Affairs (ECA) of the U.S.
Department of State fosters mutual understanding between the people of
the United States and the people of other countries around the world.
ECA does this through a wide range of international exchanges as
authorized by the Mutual Educational and Cultural Exchange Act of 1961,
as amended. ECA works in close cooperation with U.S. Embassies overseas
to promote personal, professional and institutional ties between private
citizens and organizations in the United States and abroad.

*[About IREX (International Research & Exchanges Board)]{.smallcaps}*

IREX is an international nonprofit organization providing leadership and
innovative programs to improve the quality of education, strengthen
independent media, and foster pluralistic civil society development.
Founded in 1968, IREX has an annual portfolio of \$50 million and a
staff of over 400 professionals worldwide. IREX and its partner IREX
Europe deliver cross-cutting programs and consulting expertise in more
than 50 countries.

## 

***[Program Dates]{.smallcaps}***

**November 3, 2008:** Application deadline

December - January 2009: Semi-finalists interviews. All semi-finalists
will be required to take the TOEFL (institutional or official) at this
time

April 2009: Finalists notification

September -- November 2009: Program in United States

## 

***[Eligibility Requirements]{.smallcaps}***

Applicants must be:

• Secondary-level, full-time teacher with five or more years of
classroom experience in either English as a Foreign

Language; or Social Science (social studies, civics, geography or
history)

-   Nicaraguan citizen []{.mark}

-   Continue teaching for at least five years after completion of the
    program

-   English-language proficiency in written and spoken English

-   Continue teaching for at least five years after completion of the
    program

-   Submit a complete application.

Applications not meeting the above technical eligibility requirements
will not be forwarded to the selection committee.

**Former participants of the Fulbright Teacher Exchange Program, TEA or
Partners in Education (PiE) programs are ineligible to apply.**

Current IREX or partner organizations' employees and consultants and
their immediate family members (spouses, parents, children, and
siblings) are not eligible to compete in any IREX-administered grant
programs, either as individuals or as the responsible party representing
an institutional applicant. IREX does not discriminate against grant
applicants because of race, color, religion, sex, age, national origin,
disability or any other protected characteristic as established by U.S.
law.

IREX reserves the right to verify all of the information included in the
application. In the event that there is a discrepancy, or information is
found to be false, the application will immediately be declared invalid
and the applicant ineligible.

***[Financial Provisions of the Grant]{.smallcaps}***

-   J-1 visa support;

-   Round-trip airfare from participant's home city to and within the
    United States;

-   A Welcome Orientation in Washington, D.C.;

-   University training program;

-   Accident and sickness coverage;

-   Housing (generally shared with other program participants) and
    meals;

-   Transportation allowance for travel to school internship (if
    necessary);

-   Book allowance;

-   An End of Program Conference hosted by one of the TEA host
    universities in the U.S.;

-   The opportunity to host a U.S. teacher for two weeks; and

-   The opportunity to apply for follow-on grants.

***[Selection Process and Criteria]{.smallcaps}***

TEA Fellows will be selected through a merit-based open competition.
After the deadline, the Cultural Section of the U.S. Embassy in Managua
will review all eligible applications. Top candidates will be
interviewed by a panel set up by the U.S. Embassy and will take the
TOEFL (Test of English as a Foreign Language) examination and/or another
English-language proficiency exam at the U.S. Embassy or an alternate
location in their country. An independent, U.S.-based selection
committee will conduct a final review of applicants with top interview
and TOEFL scores.

[Criteria (not in order of importance):]{.underline}

-   Professional and educational experience and achievements;

-   Demonstrated commitment to teaching and lesson plan development in
    English and/or social sciences;

-   English language skills adequate to develop lesson plans, conduct
    research, audit classes in U.S. host universities, and team-teach in
    U.S. schools (a minimum score of 450 in TOEFL is required for
    program participation);

-   Potential to influence educational and curriculum reform in the
    applicant's home institution and/or country;

-   Potential for developing long-term linkages between U.S. and home
    country educational institutions and schools;

-   Ability to express ideas clearly and effectively; and

-   Preparedness (including maturity and flexibility) for an intensive
    U.S.-based training program.

***[General Application Instructions & Submission
Guidelines]{.smallcaps}***

-   Please answer **all** questions on the application.

```{=html}
<!-- -->
```
-   Please type or print in black ink.

-   If a question does not apply to you, enter N/A (not applicable).

-   Include your full, legal, family name (surname) first as spelled on
    your passport (if available) or other photo identification.

-   Include complete contact information (including zip codes for all
    addresses and city codes for all phone and fax numbers if
    available).

-   Write your full name, city, and country in the top right corner of
    each page.

-   You may attach additional pages if necessary to answer the questions
    completely.

Completed applications must be submitted to the Cultural Section, U.S.
Embassy-Managua no later than **[Monday, November 3, 2008,
5:00pm.]{.underline} Please note that deadlines vary by country, check
with your local Fulbright Commission/U.S. Embassy for local deadlines.**
Late or incomplete applications will not be considered.

***[Recommendations and Institution Support Form]{.smallcaps}***

All applicants must include:

-   One completed recommendation form from a person who is familiar with
    your professional work. Recommendations may be from colleagues or
    supervisors. Recommendations must be submitted with the application.
    Recommendations submitted separately will not be accepted. A family
    member may not write the recommendation. Please provide an English
    translation of recommendation letter if it is not written in
    English.

-   An Institution Support Form completed by the director of the school
    for which you are employed. This form will confirm that the school
    supports the applicant's participation in this program. Please
    provide an English translation of the Institution Support Form if it
    is not written in English.

The same individual may complete the recommendation form and institution
support form so long as that person is the head or chair of the school
for which the applicant is employed.

**You must submit the original application in the following order:**

1.  Application,

2.  Curriculum vitae (please see the included sample),

3.  Statement of purpose,

4.  Completed recommendation form and letter, in English or with an
    English translation.

5.  Completed institution support form, in English or with an English
    translation

6.  A sample lesson plan if available, and

7.  A copy of your international passport (or other government issued
    photo identification)

8.  Each complete application should look identical and be stapled. No
    other form of binding is permitted.

> **(This is a Sample Resume Only---Please Do Not Include Sample in
> Submitted Application)**

**Natalia Nikolaevna Ivanova**

**ADDRESS**

**COUNTRY**

**PHONE**

**E-MAIL**

**[PROFESSIONAL EXPERIENCE]{.underline}**

> **Secondary School \# 102** -- Kiev, Ukraine
>
> **Teacher of History** (10/2002-present)

-   Teach History of Middle Ages to grades 5-6

-   Teach Modern History to grades 8-10

-   Provide training to teachers in the school

-   Act as member of weekly editorial team of school History newsletter

> **Center for Teacher Training** -- Kiev, Ukraine
>
> **Teacher Trainer** (01/2000-present)

-   Responsible for developing curriculum units in History

-   Assist Kiev regional teacher training expert with research in modern
    teaching methodologies

-   Draft monthly reports on teacher training activities

>                        
>
> **U.S. Peace Corps** -- Kiev, Ukraine
>
> **Trainer for TEFL teachers** (10/1999-9/2002)

-   Provided training about teaching in the secondary schools in Ukraine

-   Assisted with analysis of education needs in secondary schools in
    rural areas of Ukraine

-   Developed and implemented project plans to address these needs
    within the Peace Corps mission

**[EDUCATION]{.underline}**

> **Kiev State Pedagogical University** -- Kiev, Ukraine
>
> *diplom* (09/1994-07/1999)
>
> Department of History

**[PROFESSIONAL DEVELOPMENT]{.underline}**

> **Winner of Ministry of Education "Teacher of the Year" Sponsored
> Competition**
>
> **Teaching History through Internet Workshop** -- Moscow, Russia 2003
>
> Participant in workshop on internet resources for teaching history in
> the secondary schools
>
> **British Council Small Grant Program Recipient**
>
> **Conference Organizer** (01/2003-12/2003)

-   Developed and managed a conference on teaching history in secondary
    school for 120 secondary school teachers in Kiev

-   Drafted concept paper for funding of conference

> **Advisor for Students History Newspaper** -- Kiev, Ukraine
>
> Volunteer at alma mater, Kiev State Pedagogical University, 1994-1998

**[COMPUTER SKILLS]{.underline}**

> Microsoft Word, Explorer, Excel, PowerPoint, Outlook, Adobe PhotoShop,
> PageMaker

**[LANGUAGES]{.underline}**

> Ukrainian (fluent), English (excellent), French (basic)

**1. [Name ]{.smallcaps}**[(as in official documents)**:**]{.smallcaps}

> (Family Name) (First Name) (Middle Name or Patronymic)

**2. [Country of Citizenship: ]{.smallcaps}**

**3. [Country of Legal Residence]{.smallcaps}:**

**4. [Place of Birth]{.smallcaps}:**

> (City or Town) (Country)

**5. [Date of Birth:]{.smallcaps}**

> (Month) (Day) (Year)

**6. [Gender]{.smallcaps}:**  Male  Female

**[7. In order for IREX to respond to U.S. Federal inquiries, please
check the box(es) below, on a voluntary basis, if you have the following
disabilities]{.smallcaps}:**

>  Hearing Impairment  Speech Impairment  Visual Impairment (Legally
> Blind)
>
>  Orthopedic Impairment  Learning Disorder  other (specify):

**8. [Current Mailing Address:]{.smallcaps}**

> Street / building number: Apartment:
>
> City: Postal Index:
>
> Country: Region/Oblast:
>
> Telephone: [( )]{.underline} Fax: [( )]{.underline} Email:
>
> Emergency contact/Alternate telephone: [(
> )]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[9. Work Address:]{.smallcaps}**

Institution:

Department: Job Title:

Street / building number

City: Postal Index:

> Country: Region/Oblast:
>
> Telephone: [( )]{.underline} Fax: [( )]{.underline} Email:
>
> Alternate telephone: [(
> )]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[10. EDUCATIONAL BACKGROUND:]{.smallcaps}** **[In the table below,
please list all universities, institutes, and special academic programs
you are currently attending or have attended, with the most recent
listed first. Transliterate directly from your native language into
English the name of the degree that you have received, such as "Diplom,"
or "Kandidat Nauk." Do not use American equivalents unless you hold a
degree from a U.S. academic institution.]{.smallcaps}**

**Example:**

+-----------------+----------------+-----------+--------+-------------+
| **Institution & | **Department** | **Dates** | **Type | **Date      |
| City**          |                |           | of     | Degree      |
|                 |                | **(mont   | De     | Received or |
|                 |                | h/year)** | gree** | Expected**  |
+-----------------+----------------+-----------+--------+-------------+
| Armenia State   | Department of  | August    | Diplom | May 1995    |
| Pedagogical     | Elementary     | 1990-May  |        |             |
| University,     | Education      | 1995      |        |             |
| Yerevan         |                |           |        |             |
+-----------------+----------------+-----------+--------+-------------+

  ------------------ ----------------- ---------------- ---------- --------------
  **Institution &    **Department**    **Dates          **Type of  **Date Degree
  City**                               (month/year)**   Degree**   Received or
                                                                   Expected**

                                                                   

                                                                   

                                                                   
  ------------------ ----------------- ---------------- ---------- --------------

**[11. ADDITIONAL EXPERIENCE AND ACTIVITIES: Please tell us below what
activities you have pursued, in the past five years, to maintain your
professional training. Include those items that you believe will give us
an example of your current contribution to the educational system and
your future potential. For example, list professional organizations of
which you are a member, professional conferences you have attended, or
any relevant work in your community or volunteer activities that you
have been a part of. Please emphasize collaborative and leadership
activities and restrict your response to the space provided
below.]{.smallcaps}**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[12. FOREIGN LANGUAGE PROFICIENCY: Native Language
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.smallcaps}**

**[Please list all languages you know and rate your reading, writing,
listening, and speaking skills in each language, using a scale of 1-5 (1
= poor, 5 = excellent).]{.smallcaps}**

  ------------------------ -- ----------------------- -- ----------------------- -- ------------------------- -- ------------------------
  [Language]{.underline}      [Reading]{.underline}      [Writing]{.underline}      [Listening]{.underline}      [Speaking]{.underline}

                                                                                                                 

                                                                                                                 

                                                                                                                 
  ------------------------ -- ----------------------- -- ----------------------- -- ------------------------- -- ------------------------

**[13. FORMAL STUDY OF ENGLISH: Please provide the following information
regarding your study of English.]{.smallcaps}**

+-------------+---+----------------+---+---------------+---+---------------+
|             |   | > Dates        |   | > Months per  |   | > Hours per   |
|             |   |                |   | > year        |   | > week        |
+-------------+---+----------------+---+---------------+---+---------------+
| >           |   |                |   |               |   |               |
|  University |   |                |   |               |   |               |
+-------------+---+----------------+---+---------------+---+---------------+
|             |   |                |   |               |   |               |
+-------------+---+----------------+---+---------------+---+---------------+
| > Private   |   |                |   |               |   |               |
| > study     |   |                |   |               |   |               |
+-------------+---+----------------+---+---------------+---+---------------+
|             |   |                |   |               |   |               |
+-------------+---+----------------+---+---------------+---+---------------+

**[14. CURRENT ENGLISH TRAINING: Please describe what you are doing now
or plan to do to increase your English language
proficiency.]{.smallcaps}**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[15. WORK HISTORY: Please list below your work history for the last 5
years. If you need additional space, attach a sheet of paper using the
same format.]{.smallcaps}**

> Total number of years teaching/working in your profession:
> \_\_\_\_\_\_\_\_\_\_\_

**[[Current Primary Work:]{.underline}]{.smallcaps}**

> Name of School/Institution:
>
> Position/Title: Is this a full time position? Yes No
>
> Length of Employment:
>
> Grade Level Currently Teaching:
>
> Age Range of Students Currently Taught:
>
> Teaching Load: Number of Hours/Week in Subject Area:
>
> Duties:

**[[Current Secondary Work:]{.underline}]{.smallcaps}**

> Name of School/Institution:
>
> Position/Title: Is this a full time position? Yes No
>
> Length of Employment:
>
> Grade Level Currently Teaching:
>
> Age Range of Students Currently Taught:
>
> Teaching Load: Number of Hours/Week in Subject Area:
>
> Duties:

**[[Previous:]{.underline}]{.smallcaps}**

> Name of School/Institution:
>
> Position/Title:
>
> Length of Employment:
>
> Grade Level Teaching: **[[\_\_\_\_\_\_\_]{.underline}]{.smallcaps}**
>
> Duties:

**[[Previous:]{.underline}]{.smallcaps}**

> Name of School/Institution:
>
> Position/Title:
>
> Length of Employment:
>
> Grade Level Teaching: **[[\_\_\_\_\_\_\_]{.underline}]{.smallcaps}**
>
> Duties:

**16[. LESSON PLANNING AND TEACHING EXPERIENCE: Please describe a
typical lesson that you have conducted in your subject area. Please
describe a) how you planned the lesson; b) class activities that you
conducted with the students to achieve your lesson goals; and c)
techniques that you used to assess students' understanding. If you need
additional space, attach a sheet of paper using the same
format.]{.smallcaps}**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[17. SCHOOL DEMOGRAPHIC INFORMTION: In the table below, please provide
information about your school]{.smallcaps}**

**[Type of school:]{.smallcaps}**  **[Public]{.smallcaps}** 
**[Private]{.smallcaps}**

  -------------------------------------- --------------------------------
  **[Number of students]{.smallcaps}**   

  **[Number of Teachers]{.smallcaps}**   

  [**Grade levels in the school (e.g.,** 
  1-12**)**]{.smallcaps}                 

  **[Student/Teacher                     
  ratio]{.smallcaps}**                   

  **[Amount of fees charged to           
  students]{.smallcaps}**                
  -------------------------------------- --------------------------------

**[18. Are you currently applying to any other U.S.-sponsored
educational programs for the 2009 year?]{.smallcaps}**

>  Yes  No
>
> If yes, please specify which program: \_\_\_\_\_
>
> Name of Sponsoring Organization:
> **[[\_\_\_\_\_]{.underline}]{.smallcaps}**

**[19. Have you previously traveled on a U.S. Government sponsored
exchange program?]{.smallcaps}**

>  Yes  No
>
> If yes, please list: PROGRAM NAME\_\_\_\_\_
>
> START DATE (month/day/year) \_\_\_\_\_
>
> END DATE (month/day/year) \_\_\_\_\_

**[Please note that former participants of tea or partners in education
(pie) programs are not eligible to apply.]{.smallcaps}**

**[20. How did you first learn about the TEA program? (check
one)]{.smallcaps}**

  -------------------------------- --------------------------------------------
  Academic Advisor               Lecture / Presentation

  Conference Booth               Newspaper / Advertisement

  Educational / Advising Center  Program Alumni: Name
                                   \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  Electronic listserv            Radio

  Friend / Colleague             Television

  Internet/IREX website          University faculty / staff

  IREX office                    U.S. Embassy

                                   
  -------------------------------- --------------------------------------------

[**21. STATEMENT OF PURPOSE: The statement of purpose is the most
important part of your application for the Teaching Excellence and
Achievement Program (TEA) and will be read closely by members of the
selection committee.** Y**our response gives the selection committee an
opportunity to understand you better as a person and to appreciate the
value of your ideas, goals, and reasons for applying to the program.**
T**his section of the application is the only opportunity that you have
in this stage of the competition to provide a picture of yourself that
goes deeper than a simple list highlighting your experience, education,
and accomplishments.** T**hus, we urge you to think carefully through
your response before beginning to write.** R**esponses should be
properly thought out and developed.** R**esponses written in illegible
handwriting will not be considered.**]{.smallcaps}

**[On a separate piece of paper, please type or write a Statement of
Purpose, no more than 1500 words, answering the following
questions:]{.smallcaps}**

**[1. What are your professional goals, and how will participating in
this program help you achieve those goals? Discuss your personal aims as
well as the aims of your school. In what ways can participation in the
program bring you closer to accomplishing your goals?]{.smallcaps}**

**[2. If selected as a participant, what type of skills and experiences
do you hope to gain and how do you intend to apply them in your home
country once you complete the program? How do you intend to share your
U.S. experiences with colleagues and students back home?]{.smallcaps}**

**[IREX Privacy Policy & Application Certification
Statement]{.smallcaps}**

**[Your privacy is important to IREX. That is why we request that all
applicants read the following privacy policy statement
carefully.]{.smallcaps}**

**[1. Applicant and Participant Information Content and
Storage]{.smallcaps}**

**[Information about program applicants and current and past
participants consists of data contained in their applications,
information derived from interviews, and information gathered during the
course of their program and as program alumni. IREX stores this
information in written and electronic form indefinitely. Some data, such
as contact information and professional experience, is continually
updated.]{.smallcaps}**

**[2. Use of Information: Information, which is described above, may
be:]{.smallcaps}**

**[A. Used by selection committees and interviewers to review
applicants;]{.smallcaps}**

**[B. Supplied to the program's funding organization;]{.smallcaps}**

**[C. Submitted to potential host schools, universities, or
organizations and/or organizations that provide i nternship
opportunities; and]{.smallcaps}**

**[D. Used for the evaluation of an individual's participation in the
program and in the collection of data for general program evaluation by
IREX, funding agencies or other organizations contracted to conduct
evaluations.]{.smallcaps}**

**[IREX does not sell applicant or current/past participant
information.]{.smallcaps}**

**[The principles stated herein are binding only to IREX; other
organizations involved in the administration of these programs may
adhere to other privacy or similar policies.]{.smallcaps}**

**[3. Certification: I certify that I completed this application myself,
without any aid or assistance, that the information given in this
application is complete and accurate, and that I have carefully read and
understand all notes and disclaimers provided therein.]{.smallcaps}**

**[I understand that IREX reserves the right to verify all the
information listed in the application. I understand that giving false or
misleading information in the application will result in exclusion from
the competition or immediate dismissal from the Teaching Excellence and
Achievement Program.]{.smallcaps}**

**[Also, I acknowledge that I am aware of the following requirements
that I must observe if I am selected for the program:]{.smallcaps}**

**[I must abide by all program rules and regulations and observe all the
laws of the United States during my stay there, including returning to
my home country for at least two years at the conclusion of the program
in compliance with J-1 visa requirements.]{.smallcaps}**

**[The medical coverage provided to me during my travels is intended
only for emergencies and does not cover ordinary, pre-existing, and
routine dental conditions.]{.smallcaps}**

**[My spouse, children, other relatives or individuals are not permitted
to accompany me to the United States on the program.]{.smallcaps}**

**[Signature of Applicant Date]{.smallcaps}**

**[Reference Form]{.smallcaps}**

**[This reference form must be written by a colleague or supervisor
familiar with the applicant's academic and professional work. All
recommendations must be signed. An English translation of recommendation
letter must be provided if it is not written in English.]{.smallcaps}**

  --------------------------- -- -- ------------ ---------- ------------ --------- -- -- ----------------- --
  **[To be completed by the                                                                                
  applicant:]{.smallcaps}**                                                                                

  Name of Applicant:                             City &                                                    
                                                 Country:                                                  

                                                                                                           

  Name of Evaluator:                                        Title of                                       
                                                            Evaluator:                                     

                                                                                                           

  Work Institution of                                                                                      
  Evaluator:                                                                                               

                                                                                                           

  Work Address of Evaluator:                                                                               

                                                                                                           

  Work Telephone of                                                      E-mail:                           
  Evaluator:                                                                                               

                                                                                                           
  --------------------------- -- -- ------------ ---------- ------------ --------- -- -- ----------------- --

**[To be completed by the evaluator:]{.smallcaps}**

> **1.** How long have you known the applicant?
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **2.** In what capacity have you known the applicant? Please check all
> that apply.

 Colleague

Employer or Job Supervisor  Other (please specify)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**3.** Please compare the applicant with others you have known in your
professional field in terms of the characteristics below:

  ----------------------------- --------------- --------- ------------- -----------
                                **Excellent**   **Very    **Average**   **Below
                                                good**                  average**

  Intellectual Ability                                               

  Leadership Qualities                                               

  Resourcefulness and                                                
  Initiative                                                            

  Emotional Maturity                                                 

  Adaptability to New                                                
  Situations                                                            

  Commitment to Teaching                                             

  Ability to Work in a Team                                          
  Environment                                                           
  ----------------------------- --------------- --------- ------------- -----------

**4.** Please choose one of the following:

 Recommend with confidence

 Recommend with reservation

 Do not recommend

On a separate sheet of paper, please provide a candid evaluation of the
applicant's qualifications for participation in this program. Your
statements will be given careful consideration by the selection panels
reviewing this application. Therefore, your comments should be as
complete and as detailed as possible.

May we contact you regarding this recommendation?  Yes  No

I hereby confirm that the answers on this form are my own and represent
my professional opinion of the applicant.

Signature of Evaluator Date

**[Institution Support Form]{.smallcaps}**

# 

**[This institution support form must be completed by the director or
head of the school for which the applicant is employed. All institution
support letters must be signed. An English translation of the support
letter must be provided if it is not written in English.]{.smallcaps}**

  --------------------------- -- -- -- -- ---- -------- ---------- --------- -- ------------------- --
  **[To be completed by the                                                                         
  applicant:]{.smallcaps}**                                                                         

  Name of Applicant:                                    City &                                      
                                                        Country:                                    

                                                                                                    

  Name of School Director:                                                                          

                                                                                                    

  Title of School Director:                                                                         

                                                                                                    

  School Name:                                                                                      

                                                                                                    

  School Address:                                                                                   

                                                                                                    

  Work Telephone of School                                                                          
  Director:                                                                                         

                                                                                                    

  E-mail of School Director:                                                                        

                                                                                                    
  --------------------------- -- -- -- -- ---- -------- ---------- --------- -- ------------------- --

**[To be completed by the director or head of applicant's
school:]{.smallcaps}**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(School Name) is pleased to participate in the Teaching Excellence and
Achievement Program (TEA), funded by the U.S. Department of State's
Bureau of Educational and Cultural Affairs and implemented by IREX
(International Research & Exchanges Board), in the event the
representative of the institution is selected for participation in the
program.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(School Name) will provide assistance to its representative throughout
the program duration by supporting and allowing Ms/Mr.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ to participate in
TEA program activities in the United States in September -- November
2009. I understand that program activities will include a 6-week
professional development program at a U.S. university, including
coursework and intensive training in teaching methodologies, lesson
planning, teaching strategies for their home environment, educational
leadership, as well as the use of computers for Internet, word
processing and as tools for teaching. The program will also include a 2
to 3 week internship at a secondary school to engage participants
actively with American teachers and students. Ms./Mr.
\_\_\_\_\_\_\_\_\_\_\_ will be granted leave with pay during this time
and will be re-instated upon his or her return to the school. I also
understand that my school can apply to host a U.S. teacher for 2 weeks
in April 2010.

We recognize the importance of this project in the pursuit of
advancement and development for our school's teachers and look forward
to our participation in the program.

Name of School Director

Signature and Seal Date

Institution Name

Work Address

Work Telephone Fax E-mail