Between Four Eyes | Teacher Application Form

Thank for your interest in Between Four Eyes Teacher Ambassador Recruitment Program. Currently, Teacher Ambassadors have been selected for the upcoming year, however, we are accepting applications for Spring 2010.

Prior to applying, please review the website to acquaint yourself thoroughly with the goals, mission, field report and criteria to make certain you are eligible.

Teacher Ambassador Personal Details

First Name
Last Name
Middle Name
Address
City
State
Zip Code
Country
E-Mail
Home Phone
Work Phone
Mobile Phone

Do You Have:
Do you have a valid US passport?
First Aid Training

Briefly describe your experience in the following Areas:

Mindfulness and/or MBSR (Mindfulness-Based Stress Reduction)

Social Work and/or Psychology

Teaching

Conflict Transformation and Peacebuilding

Art/Theater/Movement

Leadership Role

International Work Experience

Philanthropy

Other, Please Specify

Knowledge of Languages

Please indicate your level: Beginner=1 Intermediate=2 Advanced=3

French: Speaking Reading Writing

Hebrew: Speaking Reading Writing

Arabic: Speaking Reading Writing

Other: Speaking Reading Writing

Why do you consider yourself a potential Teacher Ambassador for Between Four Eyes?
Please explain which special skills you have to contribute to this type of position? (No more than 250 words)

Place of Employment

Place of current employment, if you are currently employed

Job Title

* We do not intend to make contact with a place of employment without written consent from the candidate.

Volunteer Activities (2 examples only)

Years Activities

References

Please list two references

Name

Relationship to you

Position/Function

Telephone

Supplemental Information:

Please Email your resume to deborahs@btwn4eyes.org, citing your name in the subject line.

Verification Code :

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