VIC 2021 Moderator Application Form
Greetings from VietTESOL International Convention 2021 Organizing Committee!

Thank you for considering the invitation to become a prospective moderator of VIC 2021. Please fill in the following form with the required information.
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Your full name (in Vietnamese): *
Your title (Mr/Ms/Mrs/Dr/Prof/Assoc.Prof) *
Your institution's name (in English): *
Your institution's name (in Vietnamese): *
Your mobile phone number: *
Your email: *
Are you familiar with Zoom meeting platform? *
Have you ever worked as a moderator for a workshop/a conference? *
If you have worked as a moderator for a workshop/ a conference or if you have had any related experience, please specify:
Please briefly state the reasons why you think you can undertake the task of a moderator for VIC 2021: *
Which days are available to you to serve as a moderator for VietTESOL 2021? *
Thank you for your cooperation. An email of notification will be sent to you within September to inform whether you are accepted to be a moderator for VIC 2021.
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