International Education and resource Network Pakistan
School name:
Your Full Name:
Last/Surname: First:
Middle:
Birth Date (day/month/year):
Street Address:
City: Country: Zip/Postal code:
Home Telephone:
E-mail address:
1) Teaching experience in school/College (mention number of years)
2) Subject and classes you teach currently?
3) Please list any leadership or community service experience.
4) No of years/months you have been involved with iEARN programs. Circle one option below:
5) Please list the iEARN Online projects that you have implemented with your students.
6) Why do you want to participate in this workshop?
7) Would you be willing to train and support your colleagues for participation in the iEARN projects?
Please attach your iEARN implementation plan for the next 15 months at least.
(e.g. how many classes/student you will involve, number and name of the project, training plans or programs, how many other schools you plan to reach etc.)
7) Do you need the support for air ticket?
Note: Attach your resume with this application.
Last date for the application is November 10th 2005.
Completed applications can be mailed to
The iEARN Centre
22, Alibhai Centre. 233-A Shahrahe Quaideen
PECHS Block-2. Karachi 75400
Pakistan.
Teachers finally selected for the program will be notified by a letter by 3rd December.