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School, District or Network Information










Primary Contact Information
This is the person that will have the most contact with us regarding the J-1 Visa program.






Human Resources Contact Information
Please include contact information for the person in charge of Human Resources at the school, district or network if we should have an HR contact different from the primary contact above.






School Information




Teachers Needed
If you know which teaching positions you will need for this upcoming school year, please indicate them here. If you are filling out this form for a particular school, not a district, please list the teachers that you want at the school.

Teacher 1


if position is for 5th or 6th grade, please choose the option that the class is included with- ie. if 6th grade class is in the middle school, choose 5-8, if it is part of an elementary choose prek-6


Teacher 2


if position is for 5th or 6th grade, please choose the option that the class is included with- ie. if 6th grade class is in the middle school, choose 5-8, if it is part of an elementary choose prek-6


Teacher 3


if position is for 5th or 6th grade, please choose the option that the class is included with- ie. if 6th grade class is in the middle school, choose 5-8, if it is part of an elementary choose prek-6


Teacher 4


if position is for 5th or 6th grade, please choose the option that the class is included with- ie. if 6th grade class is in the middle school, choose 5-8, if it is part of an elementary choose prek-6



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Insurance



Housing and Transportation Costs




Required State Department Disclosures











If you selected District or Network, PLEASE RETURN TO THIS FORM AND COMPLETE IT AGAIN for each of the schools in the district or network that would like to have a J-1 Visiting Teacher (selecting "school" at the top will provide additional questions). You do not have to add in the HR contact information again.

Contact Information