STAGE Application

STAGE Overseas Student Teaching Application
Semester to student teach (e.g. Fall 2025)*
Section 1: Student's Personal Information
Name*

First NameLast Name
Phone Number*
Please enter your phone number.Format: (000) 000-0000.
Email*
example@example.com
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Passport Country/Countries*
College/University Information*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section 2: Emergency Contact Information
Family/Personal Contact Person*

Full NameRelationship
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
STAGE Campus Coordinator*

NameDepartment
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Section 3: Education
College or University*
Anticipated Date of Graduation*
College Major(s)*
College Minor(s)
Certification Sought*
Content Areas
*
Grade Levels
Additional training/certification already achieved (e.g. TESOL, First Aid, Water Safety Instructor)
List the field experience and/or student teaching/clinical experiences completed (or to be completed) prior to departure*
Section 4: Placement Requirements/Preferences
Please read and check the following statements to agree*

I understand that meeting the requirements of my program takes precedence over a desired location or grade level. I understand that STAGE will genuinely try to honor my priorities and preferences.I understand that placements are subject to the availability of the site requested.
Grade level range required for licensure*
Grade level preferred for placement
Content area(s) required for licensure (if applicable)*
Content area(s) preferred for placement
Classroom criteria required for licensure (e.g. special education, TESOL, etc.)*
Additional classroom criteria preferred
If you know, what are the dates for your overseas student teaching?
If there are specific date/time limitations to your international student teaching experience, please inform us here.
Why do you want to do your student teaching internationally?*
Please rank the following items in terms of their personal and professional importance to you in your international student teaching experience.
Continent Preference (rank your top 3 preferences: Africa, Asia, Europe, Latin America, I am willing to go anywhere that meets my certification requirements)*
List up to three countries of preference for your placement. This will help the placement coordinator know where to look first, but it does not guarantee a placement within any of these countries.*
School-Type Preference (rank: No Preference, Christian/Christian-based, Secular)*
Please list up to four specific schools that you are particularly interested in for your placement. If you already have a contact at the school, please list that here. The placement coordinator will attempt to make a placement for you at these institutions, but cannot guarantee a placement there.
Section 5: Educational Perspective
Please write a summary of your educational perspective. Include information about why you intend to teach, what formative experiences have led you to this, and what personal strengths, skills and interests will enhance your performance in the classroom.*
Section 6: Interests and Experiences
List your hobbies and interests, including sports, clubs, organizations and other skills and abilities you have.*
Describe previous cross-cultural experiences and/or international travel. Please list the languages (besides English) that you have studied, and describe your level of proficiency.*
Section 7: Health Information

International schools carry a level of responsibility for you during your student teaching. The following information is to help them determine if you can be successful in your student teaching in their context.
Do you have any physical impairments or disabilities that might restrict your mobility or require special facilities or assistance while you are student teaching overseas? Please be as specific as possible.*
Do you currently receive academic accommodations at your university that you would expect to have at your international placement? Please be as specific as possible in your description of the accommodations.*
Do you have any emotional, physical, or medical conditions, past or current, that would cause discomfort or problems during travel, change of climate, change of diet, or strenuous activity? If so, please explain.*
Are you currently receiving, or have you received in the last two years, treatment for any mental health conditions, eating disorders, drug addictions, alcoholism or psychiatric conditions? Please specify.*
Do you have allergic reactions to any of the following?*

AspirinBee stingsPeanutsPenicillinSulfa drugsCodeineNoneOther
If you said yes to any of the above, please comment on how you would deal with an allergic reaction.
Please list any special dietary needs you may have
Please tell us anything else you would like us to know about your health
Section 8: Vaccination Policy

The COVID vaccination requirements continue to change around the world. With proof of a COVID vaccine, most countries are open for travel, and many are open without it. Due to the frequent changes in requirements, it is helpful for us to know this information about you.
Please check all that apply*

I understand that I may be required to submit proof of vaccinations to either STAGE or an international school.I understandt aht there are countries that will be unavailable to me without a COVID vaccine.I understand that if I have been placed, and the vaccination requirements change, I will not receive another placement.
I have had a COVID vaccination*
If you selected "other", please explain:
Section 9: Additional Information (Optional)
Please tell us anything else you would like us and your placement school to know about you
Section 10: Christian Background
Please write a summary of your Christian testimony. Include information about how you came to know Jesus Christ as your personal Savior, your growth as a Christian, and your current walk with Christ.*
Section 11: Reference Letters

Please upload both your personal and academic reference letters
File Upload*

Cancelof
Section 12: Approval for Application
Student Signature*
Date*

MonthDayYear
Date
STAGE Campus Coordinator Signature
Date

MonthDayYear
Date
Should be Empty:

STAGE Overseas Student Teaching Application

Section 1: Student's Personal Information

Section 2: Emergency Contact Information

Section 3: Education

Section 4: Placement Requirements/Preferences

Please rank the following items in terms of their personal and professional importance to you in your international student teaching experience.

Section 5: Educational Perspective

Section 6: Interests and Experiences

Section 7: Health Information

Section 8: Vaccination Policy

Section 9: Additional Information (Optional)

Section 10: Christian Background

Section 11: Reference Letters

Section 12: Approval for Application