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UVa 2013 STARTALK
1. Welcome and greetings!
2. Please write out the answers to longer questions on a local word processing program on your computer before copying and pasting it into the online document. Because there is no way to save your answers in the online document before submission, any error may cause your work to be lost.
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* Indicates required question
1. English Name
*
Your answer
2. Chinese Name (in Chinese)
*
Your answer
3. Gender
*
Male
Female
4. Date of Birth
*
Your answer
5. Nationality
*
Your answer
6. Native or Non-native speaker of Mandarin Chinese
*
Native
Non-native
Other:
7. E-mail
*
Your answer
8. Affiliated School
*
Your answer
9. School Address
*
Your answer
10. School Phone
*
Your answer
11. Home Address
*
Your answer
12. Home Phone
*
Your answer
13. Cell Phone
*
Your answer
14. Please list your educational degree(s), major(s), institution(s), and year(s), beginning with the most recent one
*
Your answer
15. Do you hold a teacher certificate?
*
Yes
No
Other:
16. If yes, in what subject area? When did you obtain it?
Your answer
18. Current position and teaching history
*
Your answer
19. List professional development activities that you have attended
*
Your answer
21. Please rate your competence in typing traditional characters
*
5 - Very good
4 - Good
3 - OK
2 - Bad
1 - Very bad
22. Please rate your competence in handwriting traditional characters
*
5 - Very good
4 - Good
3 - OK
2 - Bad
1 - Very bad
23. Please rate your competence in typing simplified characters
*
5 - Very good
4 - Good
3 - OK
2 - Bad
1 - Very bad
24. Please rate your competence in handwriting simplified characters
*
5 - Very good
4 - Good
3 - OK
2 - Bad
1 - Very bad
25. Please rate your skills in creating Powerpoint slides
*
5 - Very good
4 - Good
3 - OK
2 - Bad
1 - Very bad
26. Please rate your skills in using cameras or videocameras to film teaching
*
5 - Very good
4 - Good
3 - OK
2 - Bad
1 - Very bad
27. Please rate your English language proficiency
*
5 - Very good
4 - Good
3 - OK
2 - Bad
1 - Very bad
28. Please rate your Chinese language proficiency
*
5 - Very good
4 - Good
3 - OK
2 - Bad
1 - Very bad
29. Do you have any administrative experiences in teaching Chinese as a foreign language? If YES, please specify:
Your answer
30. The program requires that you use your own laptop to complete daily work on site. Can you bring your own laptop for use during the program?
*
Yes
No
31. Please provide a personal statement in ENGLISH
*
Your answer
32. Please provide a personal statement in CHINESE
*
Your answer
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