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

5. Please tick and/or fill out where applicable. I am a PASSPORT HOLDER of : Australia Canada Ireland New Zealand South Africa U.S.A x United Kingdom

6. Email address : peckham.carl@gmail.com 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 Relation: Sister Phone: 4524 Email: justang@gmail.com 1-785-554Name: Choi Jisoo Relation: Friend Phone: 010-7167-3883 Email jisooo@hotmail.com

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

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. Please select Pay Category Monthly Requirements Salary ONE criterion 2,700,000 Category KRW per 1+ month Category 2,500,000 Category 2+ AND Minimum two years of full time English
teaching experience at accredited institution(s) Category 1 AND Minimum two consecutive years of employment within GEPIK

only

KRW per 1 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

2,300,000 transcript) Category KRW per 2+ month

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 Secondary school Teacher's Certificate or TEFL/TESOL/CELTA(min.of 100hrs) Certificate Master's Degree Category 3 Plus two of the followings -Elementary, Certificate Middle, or Secondary school Teacher's

2,200,000 Category KRW per 2 month

-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

2,100,000 Category KRW per 3 month

Bachelor's degree in any major