SCHOOL INTEREST FORM

Association for International Practical Training * 10400 Little Patuxent Parkway
Columbia, Maryland 21044 * www.aipt.org * phone: 410-997-2200 * fax: 410-997-0139

Find a Teacher

To bring a world of expertise to your instructional staff for up to three years, select an international teacher through AIPT's Teach USA. Complete this interest form and one of our managers will follow-up with you to begin the search for your teacher.

NOTE: After you have selected a teacher, a more formal application will be required that will serve as the basis for issuing documents your teacher will need when he or she applies for a J-1 Exchange Visitor visa.

Name of School

Type of School

Public

Private

Parochial

Other (please specify):

Is your school accredited?

Yes

No

Grade(s) to be taught

(NOTE: Only grades kindergarten through 12th are eligible.)

Subject(s) to be taught

Number of teachers needed

Preferred teacher nationality

When needed: Month

Year

How long needed? (maximum allowable program length is 36 months)

If specific credentials or tests are required for this position, please list them.

Contact Information

Mr.

Ms.

Dr.

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Best way to reach me is:

Phone

E-mail

Best time to reach me is:

Morning (8 a.m. to 12 p.m.)

Afternoon (12 p.m. to 4 p.m.)

Evening (4 p.m. to 7 p.m.)

My time zone:

U.S. - Pacific	U.S. - Mountain
U.S. - Central	U.S. - Eastern
OTHER:

I learned about AIPT's Teach USA through:

A postcard/letter	An e-mail
A colleague/friend	Web search
AIPT staff	OTHER:

If you learned about Teach USA from AIPT staff, please identify your contact person:

Indicates Response Required