Institute for Teachers of French
Application Form
PERSONAL INFORMATION Would you like correspondence sent to WORK / HOME (circle one)
Name__________________________________________________________________________
School name and address _________________________________________________________
______________________________________________________________________________
Work phone/e-mail_______________________________________________________________
Home address and phone _________________________________________________________
______________________________________________________________________________
TEACHING EXPERIENCE and INTERESTS
Grade level(s) you expect to teach next fall: ____________________________________________
What you expect to teach next fall:
_______________________________________________________________________________
_______________________________________________________________________________
Please answer the following questions to help us determine your interest in and familiarity
with Québec culture. Your responses will guide us in preparing suitable lectures and teaching
materials. You may use additional paper if necessary.
How long have you been teaching French?_____________________________________________
Describe your previous travels to Canada, if any_________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Please comment on your experience - however minimal - in teaching content related to
North American francophone regions:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________ Please describe the extent of your familiarity with Québec culture, history, language, etc.:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
If I am accepted as a participant in the 2008 Institute for Teachers of French, I agree to take
part in all institute activities, which includes completing a reading assignment prior to
arriving, and to conduct an in-service workshop or create a new unit on Québec culture
during the 2008-2009 academic year.
Applicant signature__________________________________ Date:________________________
Application Procedure
A) Please submit a one-page statement IN FRENCH of how the Institute will enhance your
teaching, and how you plan to integrate Québec culture in the classroom.
B) Please enclose a letter of support from your administration. C) Mail or fax this form, the statement, and the letter of support to:
Raymond Pelletier
The University of Maine
Canadian-American Center
154 College Avenue
Orono, ME 04473
Application deadline: 15 March 2008
Notification will be in late March, and selection will be based on the applicant's ability to meet
program objectives. Applicants who are accepted will receive a reading assignment - in
French - to be completed prior to the beginning of the Institute.
Questions? Contact Raymond Pelletier at (207) 581-4227 or raymond_pelletier@umit.maine.edu |