Application Package For

Application Package for:

Project Overseas

2015/16

To be Completed By Applicant

(Please fully complete this application.)

1. / Full Name:
Gender: / Male / Female
Date of Birth:
Place of Birth (optional)
Home Address:
Telephone: / Fax:
E-mail:
School:
School or Work Address
Position:
Language(s) Spoken:
Language(s) Written:
Immediate Supervisor:
Supervisor’s Contact Info:
Date of last day of school:
Date on which your school will open in the fall:
Latest date by which you must arrive home after the assignment:

2. Have you taught for 5 or more years?

Yes

No

3. How many years in total have you been an NTA member?

4. Teaching Background:

List all of your education service in Nunavut below, starting with the most recent

(Year(s) should be written as 1987-92 or 1998, not as 6 years or 1 year.)

Name of School/Office / Location / Position / Year(s)

5.Provide your academic background using the chart below.

(Examples: NTEP studies, Aboriginal Language Certificate, Bachelor of Education, Northern Native Studies Certificate, other Undergraduate Degrees, Graduate Degrees, other specialist qualifications etc...).

Please list beginning with the most recent.

Name of Training Institution, College or University / Date or Year(s) / Certificate, Diploma or Degree Received

6. Other Work Experience:

Job Title / Dates / Location

7. Level of Linguistic Ability

Please circle or bold appropriate choice for each category.

ENGLISH / FRENCH
Poor / Fair / Good / Excellent / Oral Comprehension / Poor / Fair / Good / Excellent
Poor / Fair / Good / Excellent / Written Comprehension / Poor / Fair / Good / Excellent
Poor / Fair / Good / Excellent / Oral Expression / Poor / Fair / Good / Excellent
Poor / Fair / Good / Excellent / Written Expression / Poor / Fair / Good / Excellent

Language in Which You Have Completed Your Studies

Please circle or bold appropriate choice for each category.

Secondary level: / English / French / Other (Specify)
University: / English / French / Other (Specify)

Subject Preference

Bearing in mind that you will be teaching unqualified or under qualified teachers , content and methodology, what subjects and levels would you feel confident teaching and in which language(s)? For your information Project Overseas typically receive many requests for: Mathematics, English Language Arts, English as a Foreign Language, Science, Social Studies, Computers, School Administration. Project Overseas also often have requests for: Classroom Management, Action Research, Trade Unionism (Teacher Welfare), Special Education, Testing, Evaluation and Measurement, Physical Education, Health.

Subject / Primary / Elementary / Secondary / English / French

8. How do you support school programs and the general functioning of your school (or School Operations) above and beyond your regular duties?

9. Experience in Organizations

Please outline your involvement in:

a) the Nunavut Teacher’s Association

b) other organizations:

10. Development Assistance Programs

a) Have you ever been a participant in CTF’s Project Overseas?

Yes

No

If yes,:

- in what year(s)?

- in what country(ies) ?

Are you interested in being a Team Leader?

Yes

No

b) Have you ever participated in cultural exchange programs designed to assist people?

Overseas (specify countries, dates and nature of program):

In Canada (dates and nature of program):

List any other international experience you have had such as personal travel:

11. Please explain in detail, how have you shown Educational Leadership in your current position or recent positions? (This could include planning or coordinating workshops or in-services, involvement with the NTA, leading staff activities or school projects.)

12. Why do you wish to participate in Project Overseas?

13. Why do you think that you are well suited to an assignment with Project Overseas?

14. If chosen, what would you see as your responsibilities as a member of a Project Overseas team?

15. In your opinion what are some of the challenges of working in a developing country?

16. What do you think the general aims and objectives of educational aid in a developing country should be?

17. What do you see as the major hurdles facing education in a developing country?

18. Please describe how you are currently pursuing your own professional development?

19. What are your hobbies and favorite forms of recreation?

20.Please explain in detail: During the past four years, how have you been involved in your community? Your region? Your territory?

21.How will participating in the Project Overseas program support your professional goals and aspirations upon your return?

22.How have you shown teamwork in your current or recent positions?

22.Is there anything else that you would like the committee to consider in your application for Project Overseas?

Applicant’s Signature:

Date:

Health:

How do you appraise your current health?
Excellent / Good’ / Fair
If other than ‘Excellent’ please provide details:
Do you have any current medical conditions and/or chronic ailments (or have had in the past) that may affect your participation in Project Overseas? / Yes / No
If yes, please explain briefly
Any physical disability? / Yes / No
If ‘Yes’, please specify:
List any technical aids (cane, wheelchair, etc.) or accessibility requirements (ramps, grab bars in washrooms etc. you need:
List any allergies and/or dietary restrictions you have:

References Information:

Complete the information below regarding your reference persons.

Name / Address / Phone #
(Present Principal or Supervisor)
(Medical Doctor)
(Executive of the NTA)

Acknowledgment:

As a Project Overseas applicant, I understand and accept the following conditions:
1. I understand that every effort will be made to assign successful applicants in accordance with their skills and experience, but I am also aware that the nature of the requests from host countries may make this impossible. / Yes
2. I am willing to accept an assignment to any country in which CTF organizes a cooperative project. / Yes
3. I understand that PO is a collaborative team effort and participants are expected to share accommodations, both in Canada and while on assignment overseas. / Yes
4. I attest that I am a Canadian citizen with a valid passport. / Yes
5. I attest that I have taught in Canada for five full years / Yes
6. I acknowledge that I have provided the personal information in this application form voluntarily to the NTA and to CTF for the purpose of applying
as a participant in Project Overseas. Should I be accepted as a participant in Project Overseas, the personal information in this application form will be kept on file at the NTA and CTF offices for the sole use of my involvement in Project Overseas. / Yes
Signature of Applicant / Date

Project Overseas Application - Reference Form

Name of Candidate applying for Project Overseas:
Reference Person’s Name:
Reference Person’s Position:
Phone Number: / Fax Number:
Relationship to Candidate: / How long have you known the Candidate?
Please rate the candidate regarding the following criteria by circling the appropriate
number in each row.
1 being low and 5 being high
Effective Team Player / 1..…2..…3..…4..…5
Support for School Programs / 1..…2..…3..…4..…5
Leadership in the Profession / 1..…2..…3..…4..…5
Community Involvement / 1..…2..…3..…4..…5
Future Contributions upon return from Project Overseas / 1..…2..…3..…4..…5
Organizational skills / Demonstrated ability to complete tasks / 1..…2..…3..…4..…5

a)Please describe why you believe the candidate would be a good choice for Project Overseas

b)Do you feel that there is anything that would impede this candidate’s successful completion of his/her studies while on Project Overseas? Please describe.

To: Health Care Practitioner,

Re: Applicants for Project Overseas through the Nunavut Teachers Association (NTA)

Medical Exam Requirements

To Whom It May Concern,

Please be advised that you may be asked by members of the Nunavut Teachers Association to provide medical assurance of their fitness to participate in an international educator development project – Project Overseas.

Project Overseas is a joint endeavor by the Canadian Teachers' Federation and its Members to give professional assistance to fellow teachers in developing countries.

Project Overseas is held during the months of July and August.

Participants must have a minimum of five years teaching experience in the Canadian Public School System before the Project Overseas assignment begins.

Started in 1962, with one program in Nigeria, Project Overseas has now assisted teacher organizations in over fifty countries of Africa, Asia, the Caribbean and the South Pacific.

With the financial assistance of the Canadian Teachers' Association Federation and its provincial and territorial Member organizations in a single year, as many as fifty to fifty-five volunteers are sent to approximately thirteen countries.

More information on this exciting project can be found at the Canadian Teachers Association website: under the ‘projects link’.

Basically candidates for selection are asked to provide a letter from their medical doctor or health care professional, reporting on the state of their health and their fitness to cope with conditions in a developing country. If they are chosen by the NTA, they may require another medical certificate later in the year for the CTF.

At this point in the application process, the candidate would be best served if he/she can provide a letter from a health care practitioner that provides an overall analysis of the candidate’s state of health in the following areas:

Vital signs
Review of the main systems
Urinalysis/blood work as deemed appropriate by the health care professional
A review of the past medical history
A review of any Allergies and implications that arise from them
Any mental health or social concerns that may be an impediment towards fulfilling the role of a project participant.

Please feel free to contact me for further information.

Thank you for your assistance in this matter.

Jeff Avery & Shannon Hessian

NTA PI Coordinators

Iqaluit, NU

(867) 979 0750