[etni] Asia TEFL membership form

From: "Bernard Spolsky" <spolsb@xxxxxxxxxxxxxx>
To: <etni@xxxxxxxxxxxxx>
Date: Mon, 22 Mar 2004 11:59:49 +0200
**** ETNI on the web http://www.etni.org.il   http://www.etni.org   ****

Membership Application Form


Complete this application form in English

Individual Membership is free.

 

Family Name: _________________ Given Name(s): ____________________ Title:
_______

Country: _____________________ Occupation:
___________________________________

Affiliation:
__________________________________________________________________

Email Address: (Primary) ___________________________, (Alternate)
__________________ 

Telephone (Include country code and area code.) 

 Home Phone: __________________________  Work Phone:
________-_________________

 Fax: __________________________________  Cellular Phone:
______________________

Mailing Address:  Please check: q Work  q Home

   (Write your address as you wish for it to appear on an envelope.)

____________________________________________________________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

ELT Interest Areas: Number all that apply, in order of interest.

q Theory and methodology                          q Proficiency goals and
assessment,

q Education policy                                          q
Curriculum/Material development 

q Teacher education
International/Intercultural communication

q Multimedia-assisted language teaching q Teaching young learners.

q Other: _________________________             q Other:
__________________________

 

Date: _______________________________________  

(month / day / year )

Send this application form to:  Prof. Chan Kyoo  MIN, (Email)
ckmin@xxxxxxxxxx

 


The Asian Association of Teachers of English as a Foreign Language


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[etni] Asia TEFL membership form

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