JC Scholar Interest Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Educational Information
Degree/Major
Who would you like to teach? Check all that apply!
*
Teach Children
Teach Women
Teach Men
Location
*
In Person (in Chicago, IL, USA)
Virtual (Zoom)
In Person (in Toronto, ON, Canada)
Which days are you available? Check all that apply!
*
Saturday
Sunday
Weekday Morning
Weekday Afternoons
Weekday Evenings
Teaching Experience
Do you have any previous teaching experience?
Yes
No
Your Designation/Role
Educational Philosophy
Tell us about yourself (personal and academic , teaching philosophy etc.)
Tell us about one book that has had the most impact on your life and why.
Please upload your resume and any recommendation letters if available
Browse Files
Drag and drop files here
Choose a file
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What type of position?
*
Paid
Volunteer
Volunteer (gas reimbursement)
Is there anything else you would like to tell us or ask?
I hereby certify that all information in this application is correct and true to my knowledge
*
Please sign here
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