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Application
for
FOREIGN LANGUAGE ASSISTANT TEACHER
Gajaw Elementary School
2013
1. Your full name as it appears on your passport:
First name: Carl Surname: Peckham
2. Gender: Male x Female
3. Marital Status
Single x Married Other __________
No. of dependant(s): 0
a. Will you be coming to Korean alone? Yes x No
If not, who and how many will be living together with you?
4. Date of Birth YEAR - MONTH - DAY
1974.05.17
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5. Please tick and/or fill out where applicable.
I am a PASSPORT HOLDERof :
Australia Canada Ireland New Zealand
South Africa U.S.A x United Kingdom
6. Email address : [email protected]
7. Address for Correspondence :
135 Corson Ave
Staten Island NY 10301
USA
8. Phone no : 1-718-608-4094
9. Two Emergency Contacts - If possible, please provide a local
Korean contact
Name: Angela Davis Name: Choi Jisoo
Relation: Sister Relation: Friend
Phone: 1-785-554-
4524 Phone: 010-7167-3883
Email:
[email protected] [email protected]
10. Have you ever visited Korea before? If yes, please describe
the duration, purpose of stay and
your experience briefly.
I spent one year in Jinju, Korea teaching English at Langcon
Academy in ChoJeon dong. My
time teaching gave me a strong appreciation for Korean
educational practice and convinced me I
want to continue to pursue a career as an English teacher in
Korea. I also became very familiar
with and attached to Korea and Korean culture during this
time.
11. If accepted into the school, what is the earliest STATE DATE
you can work in Korea?
I am available as of 23/FEB/2013
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12. Please list all post-secondary degrees and/or certifications
in order of- Major(s) /
Concentration(s) - Year(s) Received - Name of Granting
Institution
Four-year BAS in Theatre; 1998; Washburn University
14. Please list all relevant TEACHING related degrees and/or
certification in order of - Major(s) /
Concentration(s) - Year(s) Received - Name of Granting
Institution
100-hour TEFL certificate; 2011; BridgeTEFL
15. Please list all relevant TEACHING experience(s) in order of
- Name of Institution / Employer
- Duration -Subject(s) Taught
Langcon English Academy; One year (August 2011 September 2012);
English
16. Please list other employment experience(s) in order of -
Employer - Duration - Responsibilities
see Resume
17. Please list other international experiences(s) in order of
-
Country - Duration - Activities
Russua; Two weeks; Touring Perfornace Group with Cultural
Exchange program
Eligibility
Please read over the requirements per category and select the
pay category that you qualify for.
Pay
Category
Monthly
SalaryRequirements
Please
select
only
ONE
criterion
Category
1+
2,700,000
KRW per
month
Category 1 AND Minimum two consecutive years of
employment within GEPIK
Category 2,500,000 Category 2+ AND Minimum two years of full
time English
teaching experience at accredited institution(s)
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1KRW per
month
Category
2+
2,300,000
KRW per
month
Master's degree AND Bachelor's degree in Education/
English Literature/ English Language/ Linguistics(Must be
clearly stated on either the diploma certificate or official
transcript)
Master's degree in Education/ English Literature/ English
Language/ Linguistics(Must be clearly stated on either the
diploma certificate or official transcript)
Master's degree AND Elementary, Middle, or Secondaryschool
Teacher's Certificate or TEFL/TESOL/CELTA(min.of
100hrs) Certificate
Category
2
2,200,000
KRW per
month
Master's Degree
Category 3
Plus two of the followings
-Elementary, Middle, or Secondary school Teacher's
Certificate
-Bachelor's degree in Education/English Literature/ English
Language/ Linguistics(Must be clearly stated on either the
diploma certificate or official transcript)
-TEFL/TESOL/CELTA(min.of 100hrs) Certificate
-Minimum one year of full time English teaching experience
at
accredited institution(s)
-Minimum one year of full time English teaching experience
as
Talk scholarship student
x
Category
3
2,100,000
KRW per
month
Bachelor's degree in any major
