International Teacher Placement Service, specializing in long term missions for teachers overseas.
Share your faith teaching English overseas with our long term missions ministry. 

International Teacher Placement Service

APPLICATION FORMS
 
 
Qualifications
Positions 
 Available
Benefits
Training & 
 Travel
FAQ
Application  
 Forms
Pastoral 
 Confirmation
Ministry Reference Form
Donate
Contact Us
  APPLICATION PROCEDURE:  
 
 
  1. Complete and submit the Application Form online.
    The Pastoral Confirmation Form needs to be submitted by your church pastor, a campus staff or a ministry partner.
  2. Email a resume and a recent photo for church and school use.
  3. $20 application fee by credit card, personal check or money order (No cash please).

Important Note:
The Asian Countries such as China, Taiwan and Japan only issue English teacher's visa to the following nationals:
USA, Canada, UK, South Africa, New Zealand and Australia.

 
 
 

ITPS
International Teach Placement Service

2222 Michelson Drive, Suite 5220
Irvine, California 92612
Telephone: (949) 892-8420  

APPLICATION
FOR
Overseas Teaching Position

TO THE APPLICANT: These forms will complete your initial application for a teaching position overseas. Although this office does not guarantee the acceptance, we do encourage you to pray for God's leading and submit your application.

 
 

GENERAL INFORMATION:


I am applying for: Tent-Maker position     
  Full-Time Missionary position 
I prefer to teach the following level:
Are you a TESOL certified teacher?
   
I am planning to attend teacher's team in:

First Preference - Country:

Second Preference - Country:

Full Name:

Date of Birth:


Age:

Place of Birth:

Citizenship:

Gender:

   
   

Current Address:

City:

State:

Postal Zip Code:

E-Mail Address:

Home Phone:

()-Ext:

Work Phone:

()-Ext:

Marital Status:

   

Have you ever been convicted of a felony or misdemeanor?

   

Emergency Contact:

Relationship To You:

Emergency Contact H ome Phone:

()-Ext:

Emergency Contact Work Phone:

()-Ext:
   

Your Occupation:

School Attended
(or graduated):

Education (Years):

College (Years):

Postgraduate (Years):

Major:

   

Special Skills:

Musi c     Lead Singing     Nursin g       Medic al     Computer s

Other Special Skills:

Specify Instrument If Music:

Financial Support:
(besides salary)

   

Name of Church attending:

Email:

Pastor's Name:

Church Phone:

()-Ext:

Church Address:

City:

State:

Postal Zip Code:

   

The names of your close friends also applying (if any):




   



REFERENCES:

List three references, their address, phone numbers, and number of years (minimum one year) you have known each reference. Please do not include relatives.

Reference 1 - Name:

Years Known:

Address:

Phone:

()-Ext:

Email:


Reference 2 - Name:

Years Known:

Address:

Phone:

()-Ext:

Email:


Reference 3 - Name:

Years Known:

Address:

Phone:

()-Ext:

Email:

   

HEALTH QUESTIONNAIRE:

Short-term missions can be exciting and inspiring; they can also be strenuous and stressful. There are many factors that can aggravate certain health conditions, and the medical facilities in some countries where we travel may not provide timely and adequate care. Your health and safety is our primary concern. If necessary, we may request a medical release from your doctor.

General Information - Height:

Feet Inches

Weight:

lbs.

Have you been in good health most of your life?

YES     N O

Have you had any serious illnesses?

YES     N O

If yes, please explain:

Allergies:

Medications:

   

All applicants must refrain from using any alcohol or tobacco while serving overseas.

   

HEALTH QUESTIONAIRE CHECKLIST

   

Respiratory :

 

Asthma or wheezing:

YES     N O

Difficulty breathing:

YES     N O

Any trouble with lungs:

YES     N O
   

Cardiovascular:

Chest pain, pressure or tightness:

YES     N O

Difficulty walking two blocks:

YES     N O

Shortness of breath when walking or lying down:

YES     N O

Heart murmur:

YES     N O
   

Head-Eyes-Nose-Throat:

Impaired hearing:

YES     N O

Transient episodes of unconsciousness :

YES     N O
   

Hematological:

Are you slow to heal after cuts:

YES     N O

Blood disease:

YES     N O
   

Neuro-Psychiatric:

Have you ever had counseling for your mental health:

YES     N O

Convulsions:

YES     N O

Paralysis:

YES     N O

Problems with coordination:

YES     N O
   

Phobia:

If you have any phobias or other medical problems, please describe:

   

Are you currently receiving benefits from any government disability program? If yes, please explain:

   
 

SPIRITUAL QUESTIONS:

1. Please briefly describe how and when you trusted Christ as your Savior.



2. Are you involved in any student ministry on campus?

Campus Crusade For Christ:

YES     N O

InterVarsity:

YES     N O

Navigators:

YES     N O

ISI:

YES     N O

Others:


3. Describe briefly your heart for missions.


4. Please describe your personals strengths, skills, talents or ministry gifts that you think God has equipped you to be a part of this mission.


5. How do you feel about working with people of all denominations? Could you work well with someone or a church that differs from your way of worship? Do you have problem with others exercising spiritual gifts?
6. Do you have a personal quiet time? If yes, how do you conduct it? How do you deal with sin in your daily life?


7. Do you have previous overseas experience? If yes, please describe briefly.
8. How do interpersonal tensions and differences affect you? How do you resolve the conflict?
 
 

Liability Release Agreement

The undersigned wishes to participate in a mission assignment (herein the "Activity") sponsored by International Teach Placement Service (ITPS), a California non-profit religious corporation (herein the "ITPS") who is providing assistance in arranging this mission assignment. ITPS and the undersigned agree that the Activity poses risks including but not limited to the following specific risks: sickness, accident, crime, political instability, and governmental opposition to missions activities, as well as similar and dissimilar risks (herein the "Risks").

For and in consideration of ITPS assisting the participant in the Activity, and other good and valuable consideration the receipt and sufficiency of which is hereby acknowledged, the undersigned for himself/herself and his/her personal representatives, assigns, heirs, distributees, guardians and next of kin (herein the "Releasors"), hereby irrevocably and unconditionally releases, waives, discharges and covenants not to sue ITPS and its affiliates, subsidiaries, divisions, members, directors, officers, employees and agents (herein the "Releasees"), for and from all claims of any nature now or hereafter existing whether known or unknown, including but not limited to, all liability to the Releasors, on account of injury to the undersigned or death to the undersigned or injury to the property of the undersigned, whether  caused by the negligence of Releasees or otherwise, while the undersigned is Participating in the Activity.

The undersigned is fully aware of the Risks and other hazards inherent in the Activity, and voluntarily assumes the Risks and all other risks of loss, damage, or injury that maybe sustained by the undersigned while participating in the Activity.

The undersigned further agrees that he/she bears the sole responsibility for any and all medical expenses which he/she incurs while participating in the Activity, whether for injury or illness, and whether required as a result of the undersigned's participation in the Activity or not. The undersigned acknowledges Releasees are under no obligation to, and do not, provide medical insurance for the undersigned.

The undersigned warrants that he or she has fully read and understands this Liability Release Agreement  and voluntarily signs the same, and that no oral representations, statements or inducements apart from the foregoing written agreement have been made to the undersigned.

 I accept the terms and conditions contained in this Agreement in their entirety without modification.

 I do not accept this Agreement.

Contribution Agreement

The undersigned wishes to participate in a mission assignment (herein the "Activity") sponsored by International Teach Placement Service (ITPS), a California non-profit religious corporation (herein the "ITPS") who is providing assistance in arranging this mission assignment.

The undersigned agrees to contribute 10% of his/her monthly income (first year only) for national church support, China missions, global mission development and ITPS administrative fund. In return, ITPS shall provide services and benefits as indicated in the Benefit Package.

I accept this Agreement.

 I do not accept this Agreement.

Date of Application: