Exchange Teacher Information Update
Thank you for being part of the Global Teach Exchange Program!
In order to keep our information up to date, please complete the following form and submit it to us.
What do you need to update today (Select all that apply)?
Address Information
I have a new passport
Emergency contact information
Insurance information
NEW PASSPORT
What is your NEW PASSPORT NUMBER (no spaces)
What is your OLD PASSPORT NUMBER? (We need this so that this information will drop into our system. The next time you complete one of our forms, you will only use your NEW passport number.)
Is your name on the new passport different from your name on your previous passport?
Yes, my name has changed
No change to my name
Full name of Exchange Visitor exactly as it Appears on Passport
Passport - Please upload a scan of the biographical information portion of your NEW passport. Be sure the picture is clear and the passport number and expiration date is on the page you upload.
PASSPORT NUMBER (No spaces and please make sure it matches the number that you have given us previously. This is how we connect to your record in our system.)
First Name
Middle Name
Last Name
Current Cell Phone:
Current Email
Current Contact Information
It is VERY IMPORTANT that we have current address information on file for you. We MUST have a PHYSICAL ADDRESS (where you can be located - this CANNOT be a PO BOX). If you don't receive mail at your physical address, then you can also add a MAILING ADDRESS (PO BOX). Please enter the information carefully! Thank you.
U.S. PHYSICAL Street Address (this should be a street name and number)
US PHYSICAL ADDRESS City
US PHYSICAL ADDRESS State
US PHYSICAL ADDRESS Zip Code
Telephone (if different from current cell phone listed above): (Area Code)+ Phone Number
US MAILING ADDRESS - ONLY COMPLETE IF YOU DO NOT RECEIVE MAIL AT YOUR PHYSICAL ADDRESS
Mailing Address Street (may be a PO Box)
Mailing Address City
Mailing Address State
Mailing Address Zip/Postal Code
Current Emergency Contact Information
Emergency Contact Name
Emergency Contact Telephone: (Area Code)+ Phone Number
Emergency Contact Relationship (parent, sibling, friend, etc.)
Emergency Contact Email (if your emergency contact doesn't have an email address, please leave this field blank)
Current Teaching Assignment Information
Name of School
Name of District or Network
INSURANCE
You and your dependents in the are required to have two different kinds of insurance coverage while you are in the US: health insurance (which many of you get through your school or district) and repatriation/evacuation insurance (which most of you purchase from a company) If you are interested in our EGI insurance, please see the information on the Current Teachers page of our website.
How well do you understand the insurance requirements?
I understand it well and do not have any questions
I think that I understand it, but it is a little confusing to me
Please help me understand it better!
Are all of your family members who are here in the US with you covered by the same plan? If not, please explain.
When does your current evacuation/medical repatriation insurance expire?
What is the deductible on your health insurance? (It must be $500 or below to meet the State Department requirements)
Please upload a photo of your repatriation/evacuation insurance information (be sure we can see who is covered and a start date and end date)
Please upload a photo of your health insurance card (if this is private insurance, be sure we can see who is covered and a start date and end date)
OPTIONAL - DOCUMENT UPLOADS
PLEASE UPLOAD DOCUMENTS
ONLY IF THEY ARE NEW OR YOU HAVEN'T ALREADY PROVIDED THEM
We need to maintain proof that you are licensed in the state where you are teaching in the US. Please upload a document or certificate from the state where you are licensed to teach.
VISA - Please upload a photo of your VISA
Please upload a current photo of YOU (if you gave us one last year, you don't need to do this again)
Visiting Teacher Signature
By typing and submitting your name below, you are authorizing this information is accurate. Please type your full name for this digital signature.
Contact Information