國立臺灣師範大學教學發展中心

Group leader for Online English Reading Group Application

1.Personal Information
Chinese Name / Gender / □male
□female / Please attach a 4.5cmx3.5cm photo
English Name
Date of Birth / 19 _____/____/____ / Skype Account
Student number ID / Line ID
Department
Study Information / □Foreign Student: Nationality______□Ph. D’s program
□Master’s program Undergraduate program: □Junior □Senior
Topic of the Reading Group / □NEWS □Business □Movies □English Test(ex:TOEFL,TOEIC etc.)
□History & Culture □Tourism □Daily Life □Customized______
Available Working Time / The arranged time is from Oct. to Dec. (Total need at least six times, no group meeting during the midterm week), Monday to Friday, 10:00~18:00. Group meetings is 1 day a week fixedly, 2 hours a day. Please fill in the prefer time in order.
Date(mm/dd) / Time
月 日星期 / □10 :00～12 :00
□12 :10～14 :10
□14 :10～16 :10
□16 :10～18 :10
月 日星期
月 日星期
月 日星期
月 日星期
月 日星期
2.Contact Information
Contact Number / Cellphone：
E-mail（major）
3.Certificate & Specialty
Applicant Qualifications: GEPT High Intermediate Level or equivalent certificate / （1）General English Proficiency Test (GEPT)：
□High-Intermediate □Advanced □Superior
（2）Cambridge English Language Assessment：□FCE □CAE □CPE
（3）Foreign Language Proficiency Test（FLPT-English）：
□198-240 □240-315 □Above 315
（4）College Student English Proficiency Test（CSEPT）：□240-330
（5）Test of English as a Foreign Language（TOEFL iBT）：
□90-100 □100-110 □Above 110
（6）International English Language Testing System（IELTS）：
□6.0-7.0 □7.0-8.5 □Above 8.5
（7）Test of English for International Communication（TOEIC）：
□750-900 □900-990
（8）Chinese and English Translation and Interpretation Competency Examinations：
□Written Translation: English to Chinese □Written Translation: Chinese to English □Oral Interpretation
（9）□Others，Please fill in______
4.Work/ Teaching Experiences
Service Units / Position / Length of Service
5.Relevant Course Record (Please attach the school report card copies)
Subject / Subject / Subject
分
分
6.Certificates or Relevant Documents (Please attach the copies)
Name of Certificate / Name of Certificate / Name of Certificate
7.Group Leader Basic Information Form（for foreign students）
（1）Leader’ s name：
（2）Copies of both sides of Alien Resident Certificate (Please attach the copy)
Front / Back
（3）Copies of both sides of student card (Please make sure to have the register stamp on it and attach the copy)
Front / Back
8.Letter of Recommendation (optional)
1. (name) from Department of (major) is highly recommended to be the group leader of English Reading Group.
2.Recommendation Reasons：
□(1) Excellent Grades
□(2) Being helpful to classmates
□(3) Qualified in teaching ability, eligible for being a group leader for an Online English Reading Group
□(4) Responsible
Others：
Department：
Signature ： _
9、Please record a self-introduction short film (approx. 3 min)
The film is for recruiting students to join your English group. Please introduce yourself and your topic of the reading group. Please email the short film with the complete application form to
Miss

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