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Application for English for Media Literacy MOOC Facilitators
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Full Name
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Your answer
Age
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Your answer
Region (of residence and work)
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Your answer
City or settlement (of residence and work)
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Your answer
Current place of employment / position
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Your answer
English teaching experience - 3 latest positions (institution, position, function, start and end dates)
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Your answer
Total number of years teaching English
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Your answer
Education
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Your answer
Ability to provide premises for the classes and trainings (YES or NO)
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YES
NO
Ability to gather the group of participants (YES or NO)
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YES
NO
Ability to gather a group of English professionals for the training (YES or NO)
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YES
NO
Phone number:
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E-mail
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Other information (optional)
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After filling this form please send the following documents (PDF, DOC or RTF format): CV (no more than 2 pages) and scan of the professional English language certifications to
gosvitlo.info@gmail.com
with theme “MOOC_Your_Full_Name”
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