Application for 2008 English Teaching Mentor Program

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Tahmina Niyazova, U.S. Embassy Dushanbe, 109A Ismoili Somoni. Avenue. Tel: +992-37-229-2316; EnglishProgramsDushanbe@sta
Application for 2017 English Teaching Mentor Program

Full name: Date of Birth: Current home address: Telephone: E-mail: Place of Work: Number of Years Teaching: Level of Students: Education:

Prior Professional Development Activities Justification: On a separate sheet, please explain why you are applying for this program in less than 300 words. Please include your plan to share the results of your mentorship program with other teachers at your school upon its conclusion. Recommendation: Please attach a letter of recommendation from your current school administrator. Send completed applications to: Tahmina Niyazova, U.S. Embassy Dushanbe, 109A Ismoili Somoni Avenue Tel: +992-37-229-2316; [email protected] Applications deadline: February 10, 2017