2019-2020 FCTA Membership Application
Your Offical Name in Chinese *
Please use Chinese input for this question
Your answer
Your Official Name in English *
Your answer
You prefer us to call you with what name
Your answer
Name of the School(s) you currently teach at *
Your answer
Name of your principal/direct supervisor *
This is for us to send them emails to promote your success.
Your answer
Email of your principal/direct supervisor *
This is for us to send them emails to promote your success.
Your answer
School Address *
Your answer
What is the age of your students *
Please check all that apply
Required
Your school/program is *
Required
Your WORK e-mail address *
Your answer
Your Personal e-mail adress
Your answer
Your email of preference? *
Phone # at work *
Your answer
Home Phone #
Your answer
Cell Phone # *
Your answer
Home Address *
Your answer
What levels of Chinese classes does your school offer?
Your answer
What textbook(s) do you use
Your answer
My check of $25 membership fee is made payable to Florida Chinese Teachers Association and Mail to: Ms. Lichun (Elena) Yang, 7575 SW 156th Street, Palmetto Bay, FL 33157 *
The membership year is 11-01-2019 to 10-31-2020. Please submit the date you mailed out your check.
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My Check number is: *
Your membership does not start until we have received your check. Please give 5-7 days for check delivery. If you do not receive email confirmation from us, please contact us at fctapresident@gmail.com. Thank you.
Your answer
Your FL Chinese Teaching Certification Status *
Does your school require students to have an iPad or tablet? What are the students required to use it for? *
Your answer
Would you like to join FCTA WeChat 微信 group? *
Required
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