Study of the U.S. for Secondary School Educators 2015

Information and Application Instructions

Dear Candidate, please read this before completing the application below.

PROGRAM DESCRIPTION: The Study of the U.S. Institutes for Secondary School Educators are intensive post-graduate level academic programs with integrated study tours whose purpose is to provide foreign secondary educators the opportunity to deepen their understanding of the U.S. society, culture, values, and institutions. The ultimate goal of the Institute is to strengthen curricula and to enhance the quality of teaching about the United State in secondary schools. You can visit the webpage of the program to obtain general information:

http://exchanges.state.gov/susi. There are two programs, one for teachers and one for Administrators:

The Study of the U.S. Institute for Secondary Educators (program for Teachers) will provide a multinational group of 20 experienced secondary school educators with a deeper understanding of U.S. society, education, and culture – past and present. The focus of the Institute will be on providing content and materials for participants to develop high school level curricula about the United States. The Institute may be organized around a central theme or themes in U.S. civilization. Through a combination of traditional, multi-disciplinary, and interdisciplinary approaches, program content will examine the history and evolution of U.S. institutions and values, broadly defined. The program will also serve to illuminate contemporary political, social, and economic debates in American society. The four week academic residency will be complemented by a one week study tour. The aim of the study tour is to showcase the rich cultural, geographic, and ethnic diversity of the United States. There will be two type of Institutes, one for teachers and one for administrators. The Institute hosts will be either the University of Montana, or the University of Illinois at Urbana Champaign


The Study of the U.S. Institute for Secondary Educators (program for Administrators) will provide a multinational group of 20 experienced administrators (including teacher trainers, curriculum developers, textbook writers, ministry of education officials, and others) with a deeper understanding of U.S. society, education, and culture – past and present. The program's theme, "Exploring Access and Equity in U.S. Education and Society" will focus on education, immigration, and civic engagement within U.S. society and culture. The Institute will include an intellectually rigorous academic residency component, meetings with regional educators and prominent community leaders, guided independent research, visits to topically relevant sites, a two-week study tour, and the completion of a research project. The Institute will be hosted by the California State University, Chico and will take place in early June through mid-July, 2015.

PROGRAM PERIOD: the program is for five weeks and will begin in or after May 2015.

PROGRAM COVERAGE: The program covers all participant costs including: international and domestic travel, ground transportation in the U.S., housing, subsistence, books, cultural, mailing, and incidental allowances. Health insurance will also be provided for the participants, but pre-existing health conditions will not be covered.

HOUSING AND MEAL ARRANGEMENTS: Participants may be asked to share living quarters during the residency portion (four weeks) of the program. During the study tour (up to one week), participants may share a hotel room with a participant of the same gender. During the residency, housing will typically be in college or university owned housing. Most meals will be provided at campus facilities, though participants may have access to a kitchen to cook some meals on their own.

PROGRAM REQUIREMENTS AND RESTRICTIONS: Participants are expected to participate fully in the program. They are expected to attend all lectures and organized activities, and complete assigned readings.

Family members and/or friends cannot accompany participants on any part of the program. The Study of the U.S. Program is very intensive and there will be little time for personal pursuits unrelated to the program. The institute is not a research program.

Violations of host institution rules or local, state or federal laws can be grounds for immediate dismissal from the program. It is important that all participants understand the requirements and restrictions before submitting an application.

ELIGIBILITY: Candidates must meet the following criteria:

-  Ecuadorian citizenship. Candidates with Ecuadorian and U.S. citizenship are not eligible for this program. Green card holders are not eligible for this program as well

-  Between 30 to 50 years old

-  Be a highly motivated and experience teacher at secondary school, teacher trainer, curriculum developer, textbook writer, secondary school administrators, Ministry of Education official

-  Hold a degree equivalent to to a licenciatura or título de tercer nivel

-  Currently teaching a course on American Studies or planning to incorporate contents of the program to the curricula of the institution where the participant works.

-  Teaching experience in high school

-  Excellent level of written and spoken English, TOEFL score of 550 / 84 iBT

-  Preference will be given to candidates with little or no prior experience in the U.S.

DOCUMENTS YOU NEED TO ATTACH TO THIS APPLICATION:

-  The application form (begins in page 4) printed. Don´t forget to sign it.

-  Letter of support from the high school/institution where you are currently working. This letter should say the institution supports you to apply for the program.

-  Copy of the diploma / diplomas, signed and sealed by the secretary / registrar office of the university where you get your diploma. Do not submit translations of diplomas.

-  Copy of passport bio-page (the page that has information as your name, date of birth, etc.). This document is not necessary for the application but if you have this document, please attach a copy.

Copy of a valid (taken within two years) TOEFL or IELTS score report. If you have not taken the TOEFL or IELTS test see below.**

-  Detailed curriculum vitae in English or Spanish

-  Copy of National Identification

For inquiries about the program, write to

** If you have not taken the TOEFL exam register for an English exam on or before January 5, 2015 writing to .

We will administer an English test only to candidates applying for the Study of the U.S. Programs on January 9, 2015 in Quito and Guayaquil.

Pre-selected candidates will be invited to an interview during January 2015. Interview date will be announced to invited candidates only.

APPLICATION DEADLINE: Applications for this program must be received on or before January 5, 2015, at the Fulbright Commission in Ecuador.

You can bring your application personally or sent it to the address below. Please remind that your application should arrive on or before January 5, 2015:

Programa Study of the U.S.

Comisión Fulbright del Ecuador

Diego de Almagro N25-41 y Colon

Quito, Ecuador

Teléfono: (02) 222 2103

Note: the Study of the U.S. program is not a Fulbright Program. It is sponsored by the Education and Cultural Affairs Bureau of the Department of State of the United States of America.

The Fulbright Commission in Ecuador will be administering this program.

PROGRAM TIMELINE:

Program opening / November 17, 2014
Deadline to submit applications / January 5, 2015
Deadline to register for the English test / January 5, 2015
English test / January 9, 2015
Interviews / January 2015
News about nominated candidates / January 2015
News about selection of candidates / April 2015
Program begin date / June / July 2015

Study of the U.S. Institutes for Secondary School Educators 2015

PERSONAL INFORMATION

A.  Program you are applying:

B.  Applicants full name (if you have a passport, please include a copy of the biographical page of your passport)

Prefix:

Last name: Click here k type the information

First name: Click here to type the information

Middle name: Click here to type the information

C.  Gender: Male Female

D.  Date of birth (type month/day/year):

E.  City of Birth:

F.  Country of Birth:

G.  Country (ies) of Citizenship,

H.  Country of Residence:

I.  Medical, Physical, Dietary or other Personal Considerations:

Please describe any pre-existing medical conditions, including any prescription medication you may be taking, allergies, or other dietary or personal consideration. This information will not affect selection, but will enable the host institution to make any necessary accommodations. If you do not have any medical conditions, please write “none”.

Click here to type the information

Disability:

J.  Candidate Contact information

a)  Home address:

b)  City:

c)  Province:

d)  Postal code:

e)  E-mail address:

f)  Phone and cell phone numbers:

g)  Emergency Contact Name:

h)  Relationship to you (mother, father, husband):

i)  Emergency Contact Phone number:

j)  Emergency Contact Email:

WORK EXPERIENCE

K.  Current Position, Title, Institution

Position Type:

Title (cargo):

Institution Name:

Institution Address, include city and province in the address:

L.  Work Experience including previous positions and titles. If needed, attach a sheet with information about your work experience. Please give more detailed information in your CV.

From:
month and year / To:
month and year / Title or Position / Institution / Full or
Part time?

M.  Education, Academic and Professional Training:

Please list all earned degrees and all current teacher qualifications you have such as certificates, licensures, beginning with most recent.

Degree Earned
(in Spanish) / Year Earned / Specialization / Institution / Teacher Qualification Expiration Date
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro
Select oneDoctorado, Ph.D.Candidato doctoralMaestríaIngenieríaLicenciaturaTecnologíaCertificado / LicenciaOtro

N.  Active Professional Memberships: this is independent of current professional responsibilities. These should not include university committee work or other professional duties directly related to your current employment:

Position / Title / Organization
Select onePresident/Board Chairperson/DirectorBoard MemberEditorial Staff / OfficerContributing MemberMember
Select onePresident/Board Chairperson/DirectorBoard MemberEditorial Staff / OfficerContributing MemberMember
Select onePresident/Board Chairperson/DirectorBoard MemberEditorial Staff / OfficerContributing MemberMember

O.  Publications Related to the Institute Theme (up to 10)

Please list all titles in English, including whether book, chapter, journal article, newspaper article, web article, etc.

Publication Type / Year / Publisher
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public
Select oneBookEdited Volume / primary / Co EditorBook ChapterJournal ArticleNewspaper / On-line articleConference / University / Government Public

P.  Previous Experience in the United States: please list any or all trips you have made to the United States or to other countries. If you have never traveled abroad please write “none”.

Purpose / From / To / Description
Select oneEarned Ph.D.Earned M.A / M.S.Earned B.A. / B.SOther U.S. Grant / Visiting ProgramNon-degree Study in the U.S.English Language TrainingProfessional Short term travel / ConferenceTourism / Visitng Family-Friends
Select oneEarned Ph.D.Earned M.A / M.S.Earned B.A. / B.SOther U.S. Grant / Visiting ProgramNon-degree Study in the U.S.English Language TrainingProfessional Short term travel / ConferenceTourism / Visitng Family-Friends
Select oneEarned Ph.D.Earned M.A / M.S.Earned B.A. / B.SOther U.S. Grant / Visiting ProgramNon-degree Study in the U.S.English Language TrainingProfessional Short term travel / ConferenceTourism / Visitng Family-Friends
Select oneEarned Ph.D.Earned M.A / M.S.Earned B.A. / B.SOther U.S. Grant / Visiting ProgramNon-degree Study in the U.S.English Language TrainingProfessional Short term travel / ConferenceTourism / Visitng Family-Friends
Select oneEarned Ph.D.Earned M.A / M.S.Earned B.A. / B.SOther U.S. Grant / Visiting ProgramNon-degree Study in the U.S.English Language TrainingProfessional Short term travel / ConferenceTourism / Visitng Family-Friends
Select oneEarned Ph.D.Earned M.A / M.S.Earned B.A. / B.SOther U.S. Grant / Visiting ProgramNon-degree Study in the U.S.English Language TrainingProfessional Short term travel / ConferenceTourism / Visitng Family-Friends

1. Have you ever applied to a visa to the U.S.? Yes No

2. If you answered yes, were you granted a visa? Yes No

3. If you were granted a visa, what type of visa did you get?

Q.  Family residing in the United States:

Do you have close family residing in the U.S.? Yes No

If yes, please fill out the following section. If no, please write “None”:

Name of family member / friend / Relationship / City / State

R.  Evidence of English Fluency: If you have taken TOEFL or IELTS within the last two years, please provide us your score and include a copy of the score report. If you have not taken any of the two exams, please leave this space in blank and register for the English test for this program.

Test / Score / Date taken

Language proficiency: