Name  
Permanent Address  
City, State/Province, and Zip Code  
Country  

Daytime Phone Number  
Evening Phone Number
E-mail Address  

Emergency Contact in your Home Country
Your Relationship to Contact
Emergency Contact Phone Number and Email address  

Your Date of Birth
Age
Male Female
Your Citizenship: USA  Other If other, where?

Father/Mother's Name
Address
City, State/Province, and Zip Code

Please specify what size city or town in which you would prefer to teach;  a town, smaller city or larger city, with number 1  being your first choice.   Please don't specific city names since job opportunities may not exist for your experience or time-frame  in those locations.   Being flexible will ensure you will be placed more rapidly and into a position suitable for you.

1.
2.
3.
I am completely flexible. Suggest the best sized location for my experience.

Preferred Start Date:

How long will you stay? How many months and/or date of departure from Mexico?

Choose type of accommodation:

Host Family Apartment Shared Apartment (common for most teachers on a budget)
(Type of accommodation will depend on the city in which you are placed. We will try our best to provide you with the type of housing that you choose but it is not guaranteed.)

Are you a Vegetarian? If Yes, a Family Home-Stay may not be suitable Yes No 

What are your interests and activities?

How would you describe yourself? Check one or more of the following:
Athletic Artistic Studious Sociable Outgoing Shy  Flexible to change Adaptable and Open-minded to foreign cultures
Other Information

Describe your teaching experience.  Literacy class, tutoring or training in any subject,  teaching any language, teaching ESL (English as a Second Language), or any other experience in front of a classroom? No Yes 

If yes, briefly explain below.  Length of experience, size of classroom, age of students, subject, etc.  If no formal classroom experience of any sort, tell us what you can do to gain some experience prior to your arrival in Mexico? 

Can you teach other languages besides English?  (eg:  Basic French, Basic German) If so,  note below and explain experience teaching them: 

List your Diplomas,  College degrees or Teaching Certificates here:

Do you know Spanish? Yes No  If yes, what level? Beginner, Intermediate, or Advanced?

Have you been to Mexico in the past? Yes  No   If yes, when and where? Any other foreign countries travelled to?

Do you have any health condition that could be potentially problematic for an exchange in a third world program in regards to treatment or medication, etc?  Yes No  Please supply details of any condition you may have as this is important.

Please tell us how you found us. If you found us through another web site, which one?

Today's date:

Use the area below to tell us more about yourself,  ask additional questions and supply additional information that will assist in your placement request.  Also tell us why you think you are a good candidate to teach English in Mexico. 

As this process moves along, what time frame and day of  week is best to schedule a telephone conversation with you?

Please email us at Placements@teach-english-mexico.com to confirm you have submitted your application.  Thank you for your interest in our Program!  We look forward to assisting you.