IMPORTANT NOTE to POTENTIAL APPLICANT OUTSIDE UNITED STATES

OF AMERICA

We ask that you enter all Schools that you have worked at in your past.

When you come to the United States, how much money you make is decided by three important things:

1. Level of degree (i.e.; Bachelors, Masters, Ph.D., etc.)

2. Years of Teaching Experience
3. Location of Placement (i.e.; North Carolina, South Carolina, Virginia, Florida)

It is important that you enter all jobs that you have worked for in the past because we want you to be paid
the right amount of money! We cannot use any experience that is not entered on your application and that
has not been verified. In order to calculate your experience, we follow State rules set in place for
American Teachers.

Experience Counts!
In the United States, teachers are only paid for years of teaching experience that were received after
getting a Bachelor’s degree. Some Countries allow teachers to only have a Teaching Diploma. If you are
from one of those Countries, you should still enter all of your teaching experience, however, you should
be prepared to receive credit for only the years after the date of your Bachelors Diploma.

In the United States, a ‘full-time” job is considered 40 hours per week. This includes both teaching time in
the classroom and planning time. When deciding how many hours per week you work, you should
consider both of these things. If you work under 36 hours per week, it is not considered full-time and you
will not be given full credit for that year.

When calculating experience, you are NOT allowed to use the following:

 tutoring positions
 after-school work
 summer training camps
 any job where you worked less than 5 hours per week

You do not need to include these on your profile.

What documents are acceptable for verifying your Teaching History?
In order to calculate your experience, EPI requires that you upload proof of employment for all positions
listed on your profile. There are many ways that you can provide proof of employment on your profile.

 Some of the most common ways are:

 Letter from Supervisor on Official School Letterhead
 Letter of Employment from the Ministry of Education
 Tax Documents that state Name of Employer
Personal Profile
First Name
Middle Name
Last name
Second Last Name

Gender
Date of Birth

Complete Mailing Address

Address
City
Province
Zip Code

Skype ID

Primary Phone Number

Mobile Phone Number
Work Phone Number

Country of Birth
City of Birth
Country of Citizenship

Visa Denied Ever been denied a visa in the US?

Please be completely honest. We need to determine whether
you can be issued another visa if you were denied one in the
past. The United States Department of State is able to track
everyone who has been denied a visa in the past.
No Yes

US Citizen Are You a US Citizen?

No Yes

US Resident Are you a US resident?

No Yes

US Permanent Residence Has anyone ever applied for permanent residence or a Green
Application Card in the United States for you or your spouse?
No Yes
Previous US Travel
No Yes
If Yes, state the Month and Year

US Relatives Do you have relatives residing in the US?

No Yes

US Relatives Info Provide the following details as they relate to your US relatives:

1. What is their relationship to you? (i.e. parent, cousin,

sibling..)
2. Where do they live?
3. What is their status? (Are they a citizen? Are they a
resident? Do they hold a temporary visa?)
4. Have they ever filed a green card application for you or
do they plan to do so in the future?

Non-teaching experience List any work-related experience you have outside of teaching
No Yes
If yes, please write down using the format below
Company
Job Position
Inclusive Dates

Drivers License Do you have a driver's license? Having a driver's license is not
required to apply for the program, but it will allow you more
placement opportunities.
No Yes

Driving Status Do you drive on a regular basis?

No Yes
Interests and Hobbies List other interests and hobbies

Profile Picture Photo Tips:

 Use a recent photo

 Smile to look approachable
 Dress professionally
 Focus on your face and not the background
 Take the picture in front of a simple background
 Avoid other people or animals in your photo
 Do not wear accessories except regular eye glasses
  Face the camera

Professional Profile
English Proficiency Please rate your proficiency with the English language.
Superior Near Native Native

Native Language(s) None

Arabic
Bengali
Burmese
Cantonese
English
Farsi
French
German
Gujarati
Hindi
Indonesian
Italian
Japanese
Javanese
Kannada
Korean
Mandarin
Marathi
Polish
Portuguese
Punjabi
Russian
 Spanish
Tamil
Telugu
Thai
Turkish
Urdu
Vietnamese
Wu
Other

Other Native Languages Add any other Native languages that are not in the list
above. You may add as many as needed.
Additional Non-Native Please list any other languages you know that are not
Language(s) your native languages.
None
Arabic
Bengali
Burmese
Cantonese
English
Farsi
French
German
Gujarati
Hindi
Indonesian
Italian
Japanese
Javanese
Kannada
Korean
 Mandarin
Marathi
Polish
Portuguese
Punjabi
Russian
Spanish
Tamil
Telugu
Thai
Turkish
Urdu
Vietnamese
Wu
Other

Superior Language(s)
None
Arabic
Bengali
Burmese
Cantonese
English
Farsi
French
German
Gujarati
Hindi
Indonesian
Italian
Japanese
 Javanese
Kannada
Korean
Mandarin
Marathi
Polish
Portuguese
Punjabi
Russian
Spanish
Tamil
Telugu
Thai
Turkish
Urdu
Vietnamese
Wu
Other

Other Superior Languages Add any other Superior languages that are not in the list
above. You may add as many as needed.

Degree Levels * Check all degree levels you have completed.

Associate Degree / Technical degree

Diploma in teaching / Teaching certificate
Bachelor's Degree (Baccalaureate)
Post-graduate Diploma (Graduate coursework)
Master's Degree
Ph.D.

4-year Bachelor Degree * Do you have the equivalent of a 4-year Bachelor's

Degree?
 No Yes

Degree * What is your degree as stated on your diploma?

Date of Bachelor's Degree * What is the date written on this diploma?
E.g., 11/27/2017

Major * What did you major in?

College or University *
Intention to Teach in the USA *
Cultural Ambassador Self
Definition *
Intending to stay for duration of
program *
At what college or university did you receive your
degree?
Why would you like to apply to teach in the USA?
What qualities do you have that would make you a good
cultural ambassador?
Would you be willing to teach at least three (3) years if
you are in a suitable teaching position?

No Yes
Previous US Teaching Have you ever taught in the US before?
Experience *
No Yes
Currently Teaching * Are you currently teaching?

No Yes
Current Subjects * What subjects are you currently teaching?

Business Education
Early Childhood
Elementary Education
Language Arts
English
ESL (English as a Second Language)
EFL (English as a Foreign Language)
Bilingual Education
Spanish
German
French
Italian
Japanese
Latin
Arabic
Mandarin (Chinese)
Mathematics
Science
Biology
Chemistry
Physics
Computer Science (Technology Education)
Media Coordinator
Special Education
Special Ed - Self-Contained
Special Ed - Resource
Special Ed - General Curriculum
Special Ed - Speech Language Therapist
Special Ed - Severe Disabilities
Special Ed - Multi-categorical
Special Ed - Mental Disabilities
Special Ed - Learning Disabilities
Special Ed - Emotional Disabilities
Special Ed - Early Childhood
Special Ed - Deaf and Hard of Hearing
Special Ed - Blind and Visually Impaired
Immersion - Spanish
Immersion - French
Immersion - German
Immersion - Mandarin
Immersion - Japanese
Counseling
 Physical Education
Social Studies
History
Geography
Art Education
Music Education
Drama
Dance
Family and Consumer Sciences (Home Economics)
Trades and Industrial Education (Career and
Technology)
Other

Additional Subjects What other subjects are you qualified to teach?

Business Education
Early Childhood
Elementary Education
Language Arts
English
ESL (English as a Second Language)
EFL (English as a Foreign Language)
Bilingual Education
Spanish
German
French
Italian
Japanese
Latin
Arabic
Mandarin (Chinese)
Mathematics
Science
Biology
Chemistry
Physics
Computer Science (Technology Education)
Media Coordinator
Special Education
Special Ed - Self-Contained
Special Ed - Resource
Special Ed - General Curriculum
Special Ed - Speech Language Therapist
Special Ed - Severe Disabilities
Special Ed - Multi-categorical
Special Ed - Mental Disabilities
Special Ed - Learning Disabilities
Special Ed - Emotional Disabilities
Special Ed - Early Childhood
Special Ed - Deaf and Hard of Hearing
Special Ed - Blind and Visually Impaired
Immersion - Spanish
Immersion - French
Immersion - German
Immersion - Mandarin
Immersion - Japanese
Counseling
Physical Education
Social Studies
History
 Geography
Art Education
Music Education
Drama
Dance
Family and Consumer Sciences (Home Economics)
Trades and Industrial Education (Career and
Technology)
Other

Age of Students *
3
4
Preschool
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Over 18

School History Information * Notes:

 We only consider job experience gained after you

 received your bachelor's degree (baccalaureate)
 Do not include tutoring or training camp jobs
 Do not include jobs that were 10 hours or less per
week
 Full-time work in the USA is considered 40 hours
per week
 Consider both your teaching time and preparation
time when determining your hours worked per
week
 You must provide proof of employment for each
job listed

Name of School
Beginning Date
Ending Date
Total hours worked per week
Number of students
Position Title and Subjects Position Title (e.g., teacher, assistant teacher, supervisor,
Taught principal) and Subjects taught (chemistry, math, etc)
Responsibilities held Main activities and responsibilities
Total Number of Teaching Does not include vacations or holiday breaks
Months
School Address
School Address
City

Province
Postal code
School Contact Person's Name
School Contact Person's
Position
School Contact Person's Email
School Contact Person's Phone
Number
School Proof of Employment Please upload proof of your employment at this
institution. We need this in order to verify you have the
required experience for our program.
Acceptable documents include:
 Letter from your principal on official school
letterhead
 Letter from Ministry or Department of Education
 Tax returns for each year of employment

Documentation
Passport Please provide a scanned copy of your current passport
that shows each stamped page and your picture page.
Please make sure to include all pages where you have a
 visa and make sure to provide color copies.
Passport Number

References Tips:
 Only put email addresses in the fields below. Do
not include their names or other information.
 Choose references that will speak well of you
 Ask your desired references for permission before
adding them
 Current immediate supervisors are the best
references
 Choose resent references first
 Colleagues are not good references

Supervisor Email
Another Supervisor Email
Professional Reference Email

Diplomas and Transcripts Notes:

 A transcript is an official record from your
institution. It is certified with signatures and
stamps.
 Provide all post-secondary degrees you hold
 Provide quality images in color with a scanner if
possible
 If your document is not in English, you must
provide a certified translation
 We only accept official transcripts

School name Please input the name of the school from which you
received this diploma.
Diploma Diplomas must show the educational equivalent of at
least a 4-year degree. If you have more than one
diplomas, upload all of them
Transcript Transcripts must be directly related to each Diploma you
upload.

School name ( if done with Please input the name of the school from which you
Masters degree) received this diploma.
Diploma Diplomas must show the educational equivalent of at
least a 4-year degree. If you have more than one
diplomas, upload all of them
Transcript Transcripts must be directly related to each Diploma you
upload.

Criminal Record Check Notes:

 Criminal record checks are only valid for six

months
 Your local police station can help you obtain a
 criminal record check
 Provide a criminal record check from your country
of residency (where you live)
 Provide a criminal record check from your country
of record (where you are from) if different from
where you live
 Depending on how long your application takes,
you may need to order these twice

Home Country Driver's License
(Front & Back)
International Driver's License
(Front & Back)
Past Teaching Licenses
Social Security Card
Social Security Number
If you have a driver's license that is less than 1 year old,
please upload additional proof that you have been driving
for over 2 years.
If you have a driver's license that is less than 1 year old,
please upload additional proof that you have been driving
for over 2 years.
Upload United States Teaching License if Taught in the
United States Before.
Upload Social Security Card if you have Worked in the
United States Before. If you do not have a United States
Social Security Card, you may skip this section for now.
If you have your Social Security Card, type in the number
as it appears on the card.

Other Documents Please upload any other documents that you feel would
be beneficial to your eligibility approval.
Video Video Tips:

 Your video should be 60-90 seconds in length

 Write and practice your video
 Smile
 Be energetic and professional
 Practice recording with your device
 If using a smart phone, film sideways in landscape
mode
 Center your face on the screen. Not too low, not
too high.
 Mention only relevant degrees and experience
 Make sure your camera is stable
 Avoid background noises
 Avoid background distractions

Family Profile
Married Are you married?

No Yes
Number of Children * Number of Children Under the age of 21
Children Enter your child's information. If you have more than one
child, add them individually with the button below.
Child First Name
Child Middle Name
Child Last Name
Child Second Last Name
Child Gender
Male Female
Child's Date of Birth
Child's City of Birth
Child's State/Province of Birth
Child's Country of Birth
Child's Country of Citizenship
Child's Last Legal Permanent
Residency Country

Child Travel Will this child be joining you in the US?

No Yes Currently in the US

Child's Passport
Child's Birth Certificate

Nonimmigrant Profile
Family Previous Visa Have you or your dependent spouse or children ever
Application * applied for a U.S. Visa before? If yes, provide details
below.

No Yes
Family Previous Visa Application Provide the details of your previous visa application(s).
Explanation Include the following information: type of visa, whether it
was granted or denied, and whether you used the visa.

Family Previous Visa Denial * Have you or your dependent spouse or children ever
been denied a U.S. visa or entry to the USA? If yes,
provide details below.
No Yes

Omitted or misrepresented Has anyone ever omitted or misrepresented information

information to obtain a visa * to obtain a visa, or immigration benefit, or admission to
the US for you or your spouse?

No Yes
Previous US travel problems *
Overstayed visa *
Family in USA *
Family in USA details
Immigration intent application *
Family violated immigration
laws *
Previous IRS filing *
Car Ownership
Other Vehicle Ownership
Return Job Letter
Property Ownership
Other Home-tie evidence
Have you or your family ever had problems traveling to
the US before?
No Yes
Have you (or your family) ever overstayed a visa, or
worked without permission, in the U.S. or any other
country?
No Yes
Do you have any siblings, parents, children, a spouse, or
a fiancé or fiancée in the USA?
No Yes
Provide each person's name and immigration status.
Have you applied for a green card or Waiver of the 2-year
return home rule previously?
No Yes
Have any of your siblings, parents, children, spouse, or
fiancé or fiancée ever violated the immigration laws of the
USA, such as overstaying a visa, coming to America
illegally, working without permission, or committing any
other type of immigration violation? If yes, please explain
below.
No Yes
If you (or your spouse or children) have been to the US
previously and earned money, did you/they file the
required tax return with the IRS (Internal Revenue
Service)?
No Yes
If you own a car, please submit proof of ownership here.
If you own other vehicles for transportation, please
submit proof of ownership here
Letter from current employer(s) stating the teacher has a
job to return to after teaching in the USA.
Please upload property ownership documentation -
house/apartment/condo (or at least a lease or landlord
letter if you rent)
Other evidence of financial and personal ties (family
staying behind, ownership of other property, lines of
credit/credit cards with good credit history, etc).
Terms & Conditions
Understands 2-year Return Home
Rule Visa *
Understands 2-year Return Home
Rule Contract *
Health, willingness and ability
confirmation *
Stopped by police *
Arrested *
Charged with a crime or any
offense *
Adverse activity intention *
Does not deserve visa *
Under the 2-year return home rule, you are required to
exit the United States of America to share your cultural
experiences with others for the period of 2 years. During
this period of time, you may return to the USA as a visitor
or tourist, but may not return on a J-1 visa. You may
apply for another J-1 visa once you satisfy this
requirement. Do you understand the 2-year return home
rule?
No Yes
Do you understand and agree that regardless of whether
your visa says you are subject to the 2-year return home
rule, your contract requires you to return home for 2 years
when your program has finished?
No Yes
Are you (and your family members) healthy, willing, and
able to join the program?
No Yes
Have you (or your spouse or children) EVER been
stopped by police?
No Yes
Have you (or your spouse or children) EVER been
arrested?
No Yes
Have you (or your spouse or children) EVER been
charged with a crime or any offense (even if it was later
dismissed)?
No Yes
Do you plan to participate in terrorism, criminal activity,
drug dealing, immigration fraud or any adverse activity in
America?
No Yes
Is there any reason you (or your family members) should
not be granted a visa?
No Yes
Visa concerns * Is there anything you (or your family members) are
worried about regarding your visa process or the
program?
No Yes