Attachment 3 - Amended Addendum 3.docx

Instructor Information

Proposed Instructor Staff Identifier: _________________________

Instructor Position: _________________________

Language Proficiency

If not, what is your first or native language?

2) Please provide your English proficiency information.

Proficiency Scale (e.g., ACTFL, ILR, etc.)

Test Date

English

3) Please provide the same information for each additional language that you speak and are applying to teach.

Scale Measured (e.g., ACTFL, ILR, etc.)

Test Date

Language 1:

Language 2:

Language 3:

4) Please provide the following information about your cultural experiences associated with each language identified above.

Language 1:

Language 2:

Language 3:

Education

5) What levels of education have you attained? (Check all that apply, and fill in corresponding information)

|_| Name of High School/GED/secondary school:

Dates Attended:

Country:

Language of Instruction:

NO

Degree:

|_| Name of College for Associate’s Degree (AA/AS):

Dates Attended:

Country:

Language of Instruction:

NO

Degree:

|_| Name of College for Bachelor’s Degree (BA/BS):

Dates Attended:

Country:

Language of Instruction:

NO

Degree:

|_| Name of College for PhD, MD, EdD, JD:

Dates Attended:

Country:

Language of Instruction:

NO

Degree:

|_| Professional Certificates/Certifications:

Date Received:

Organization Issuing Certification:

Location:

NO

If yes, provide the following information:

Dates:

Relevant Degree:

Total Credit Hours/Units:

If yes, provide the following

NO

Dates:

Relevant Degree:

If yes, provide the following

8) As part of your formal education, did you do a foreign language teaching practicum in which you taught students?

YES

NO

Language:

Student Level:

Dates:

Relevant Degree:

Professional Development

Please provide the following information about your professional development.

9) Have you ever attended a course or workshop (not part of your degree programs) on foreign language instruction or instructional methodologies for your professional development?

YES

NO

If yes, provide the following information:

Title of Course:

Purpose of Training:

Organization Conducting:

Dates:

Location:

10) Have you ever attended a course or workshop (not part of your degree programs) on proficiency-based foreign language instruction?

NO

Title of Course:

Purpose of Training:

Organization Conducting:

Dates:

11) Have you ever received a course on foreign language teaching from a DoD organization or a vendor/contractor working for a DoD organization (such as USSOCOM)?

NO

Title of Course:

Purpose of Training:

Organization Conducting:

Dates:

Relevant Experience

12) Do you have experience teaching or instructing students?

YES

|_| Continue to Question 13

NO

|_| Skip to Military Experience Section (Question 23)

13) Do you have foreign language teaching or instruction experience at any level?

|_| Continue to Question 14

Please provide information on your non-language teaching experience:

Years of experience:

Subjects taught:

Details of experience:

Location:

Student population (e.g., high school):

Dates:

[Skip to Culture Experience – Question 17]

14) Do you have experience teaching or instructing foreign language to adult learners?

|_| Continue to Question 15

Please provide information regarding your language teaching experience of K-16:

Languages taught:

Details of experience:

Location:

Student population:

Dates:

[Skip to Culture Experience – Question 17]

15) To which adult learner groups do you have experience teaching foreign language?

|_| Military

Continue to Question 16

Courses/languages taught:

Details of experience:

Location:

Organization:

Student population:

Dates:

[Skip to Culture Experience – Question 17]

|_| Corporate/ Not-for-profit Years of experience:

Courses/languages taught:

Details of experience:

Location:

Organization:

Student population:

Dates:

[Skip to Culture Experience – Question 17]

16) Have you ever taught foreign language to Special Operations Forces (SOF) learners?

YES

|_| Please provide information on your SOF language teaching experience:

Languages taught:

Details of experience(s):

Location:

Student population:

Dates:

Vendor/Government:

Please provide information on your military (non-SOF) language teaching experience:

Military organization:

Years of experience:

Details of experience:

Location:

Student population:

Dates:

Vendor/Government:

Culture Experience

17) Have you ever taught a culture awareness or pre-deployment culture training course to military personnel?

|_| Continue to Question 18

NO

|_| Skip to Question 19

18) Have you ever taught a culture awareness or pre-deployment culture training course to SOF personnel?

SOF Culture Training Experience

Military (non-SOF) Culture Training Experience

Cultures taught:

Cultures taught:

Purpose, scope, objectives:

Purpose, scope, objectives:

Location:

Location:

SOF organization:

DoD organization:

Vendor:

Vendor:

Date:

Date:

19) Do you have experience teaching a mission-focused course (such as pre-deployment language training)?

If yes, provide the following:

Which levels?

Describe Course:

20) Do you have experience teaching a proficiency-based foreign language curriculum?

NO

Describe Course:

21) Do you have experience teaching foreign language classes with students of different proficiency levels (e.g., ILR 0+, 1, and 1+)?

NO

Describe Course:

22) Do you have experience teaching foreign language in a job-based or performance-based course?

NO

Describe Course:

Military Experience

NO

If yes, please indicate the following information.

|_| Civilian |_| Contractor |_| Active Duty

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

NO

NO

If yes, please indicate the following information.

Which country?

|_| Civilian |_| Contractor |_| Active Duty

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

NO

Clearance

NO

If yes, please provide details:

If no, would you be able to get clearance within 6 weeks of being notified it is required?

YES

NO

Classroom Management

26) Please describe your classroom management style:

27) Describe how you ensure student understanding of taught concepts:

28) Describe how you facilitate student engagement in learning:

Instructional Philosophy

29) In your last teaching position, please describe how you implemented your teaching philosophy:

30) What does learner-centered instruction mean to you?

31) What do you feel are the top 5 characteristics of a successful language teacher?

32) Describe the steps you take to motivate students to learn in general and on a daily basis:

Situational Questions

33) Do you have experience with language curriculum development? If so, describe your experience and the process you went through to develop the curriculum.

34) If you are asked to teach a course and the students have vastly different levels of proficiency in the language (i.e., some with no previous experience and others with course experience), how would handle this teaching assignment?

35) If you were teaching a foreign language class that was job-based (all learners were acquiring the language for job purposes only), how would your instructional approach differ from a traditional academic classroom?

36) How would you handle a classroom setting where learners were frequently absent? What steps would you take to ensure all learners have equal learning opportunities?

Personal Statement

37) Please provide any additional information or comments that may help in our decision process.