IALF/WILTA Reciprocal Teacher Visit January 2011

Application form Cover sheet

Please attach this form to the front of your written application.

Name: ___________________________________

Name of ___________________________________
school/workplace:
School/Work ___________________________________
Address:
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Home Address: ___________________________________

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Postal Address: ___________________________________

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Contact phone: Work: _______________ Home: ________________

Contact fax: Work: _______________ Home: ________________

Email: Work: _______________________________

Home: _______________________________

I have been a WILTA member for _________ year(s).

I have _________ years classroom teaching experience.
My teaching experience includes:
 Primary  Secondary  TAFE  University
In Bali I would be willing to teach
 Primary  Secondary  Adult

Signature: _________________________ Date: ____________

Applicants are asked to address the following criteria in the spaces provided.

1 Demonstrate how you implement current language teaching methodology

promoted in Western Australian schools, in your classroom teaching.
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2 Outline the sorts of cultural considerations you think are necessary when
interacting with Indonesian colleagues and students.
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3 Outline how you envisage developing and supporting international

networks between WILTA and educational institutions whilst in Indonesia.
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4 Outline how you envisage providing feedback to the WILTA membership

upon completion of this programme.
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5 Outline ways in which you plan to use this professional development
opportunity both within your own classroom and within the WILTA
network.
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6 Please include the name and telephone contact for two referees.

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