<p> 2018 Instructor Application Form Summer Abroad Program, Woodsworth College</p><p>Instructor’s Name ______</p><p>Status at the University of Toronto ______</p><p>Will you be on leave in 2018? Yes  If “yes”, indicate the start date of your leave ______No  </p><p>Department ______Campus ______</p><p>Email ______Phone ______</p><p>Mailing address (work) ______</p><p>______</p><p>1. Site Application to teach in (choose one):  China: Hong Kong  England: Oxford  France: Tours  Germany: Berlin  Ireland: Maynooth  Italy: Siena  Science Abroad - only complete questions 2 a), 2 b), 3, 4, 5 and 6.</p><p>2. Course details a)  Existing course, course code ______, course title ______</p><p>OR  New course to be listed under the following Department ______b) Course Description (120 words or less) – can be a more detailed version of the calendar listing</p><p>1 2 c) Why you think the course would be a good fit for the site (120 words or less)</p><p>2 d) A preliminary list of 3 to 5 field trips that would highlight and complement the academic material</p><p>1)</p><p>2)</p><p>3)</p><p>4)</p><p>5)</p><p>2 e) A preliminary list of course learning objectives. These should relate to the Summer Abroad learning objectives and relevant departmental program objectives.</p><p>1)</p><p>2)</p><p>3)</p><p>2 3 3. Biographical Information</p><p>3 a) A personal bio highlighting relevant teaching and research experience and site specific knowledge (120 words or less)</p><p>3 b) A statement about why you are interested in this opportunity and why you are well positioned to teach this course (100 words or less)</p><p>4. Additional Relevant Information e.g., description of science abroad research project, description of service learning component (100 words or less).</p><p>4 5. Language Proficiency</p><p>Your level of proficiency in the language of the host site (if it is not English).</p><p> None  Beginner  Intermediate  Advanced/Bilingual </p><p>6. Teaching Evaluations</p><p>Please submit recent teaching evaluation summary sheets either electronically (scanned version) to [email protected] or by fax to Sarah Witol at 416-946-3516. Please note that individual evaluation forms are not required. </p><p>I will submit my teaching evaluations by March 15 via:  Email (scanned version) OR  Fax </p><p>7. Departmental Confirmation</p><p>Please ask the undergraduate chair of your department to send an email of support to Sarah Witol at [email protected]. The email should confirm that the department supports your application and would approve this course being offering in Summer 2017.</p><p>Submit this form via email in Word or PDF format to [email protected] by March 15, 2017.</p><p>Both the courses and instructors are evaluated for their suitability as part of the Summer Abroad program. The selection of all courses and instructors are at the sole decision of Woodsworth College, since funding for all courses is through the College budget.</p><p>Professional & International Programs Office Woodsworth College, 3rd Floor University of Toronto 119 St. George Street Toronto ON M5S 1A9</p><p>Telephone: 416-978-8713 Email: [email protected]</p><p>5</p>