Esn regional Peer Mentor Application

r

 co t t i or

tio  

   Email (if available): 

Emergency contact name: 

Home phone:

Cell phone:  

(You must provide at least one phone number that is different than yours.)

Ochilova Kimyo

Uzbekistan

Uzbekistan

04/18/1987

12

0

Qulama  street 

11

Jizzakh

Uzbekistan

Jizzakh

[phone]

[e-mail]

@scarylady

[phone]

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6 

12.

Current educational institution name in English: 

Street    

City, Region/Oblast  

School phone

our work phone:

(if different than above)

Is this a public or private institution  

 Current school principal/dean/headmaster name: 

13.

15. Number of students at current workplace:

 PO bo   if applicable  

ip  Postal code   

        our work email

Public 

 Private 

  ther please specify

14.

        

Do you have a secondary workplace   e.g., tutoring, training school, etc.

  Secondary workplace name

Telephone

How many hours per day?

How many hours per week?

CURRENT WORKPLACE

10.

11.

  es   

      No 

Total number of years working at this school:

Your job title:

Are you a full-time teacher/faculty member in your current work place: 

 Yes 

    No 

16.

17. Do you teach English language classes

  es      No 

If yes, how many classes per week? 

18. What other subjects do you teach in English

19. What grade levels do you teach

20. Average number of students per class

21. Not including teaching, what additional activities are you responsible for at your school

e.g.,supervision of teachers, curriculum development, teacher training, student clubs, student activities etc.  

22. Including you how many English teachers work in your school

CURRENT TEACHING AND PROFESSIONAL RESPONSIBILITIES

Sh.Rashidov district 36- school

Qulama street

Jizzakh

 Yusunov Gani

3

 english teacher

5 classes 3 times per week

5-6 grade levels

15

 

13

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EDUCATION HISTORY AND KNOWLEDGE OF LANGUAGES 

23. Bachelor’s degree

  es   

  No  

Higher education institution name where the degree was received   

Institution  ocation                           

 Ma or   

  ear  egree  ranted   

24. Master s degree              es          No

Higher education institution name where the degree was received

Institution  ocation                           

 Ma or

  ear  egree  ranted   

25. Native Language

Other Languages  ou Can Speak

Other  anguages  ou Can Read

Other  anguages  ou Can Write

Other  anguages  ou Can  nderstand When  istening

SUPPLEMENTARY INFORMATION 

The following information will NOT be considered in the evaluation of your application. The information 

will be needed for logistical purposes if you are selected for this program.  

26. Do you have access to a computer in Uzbekistan?

 No 

If yes, where do you use it?

  Home

 Office 

 Yes 

 Other   

27.

o you use email on a regular basis?

 No 

28. Do you use Telegram on a regular basis?

 No

29.

our proficiency in using Zoom

  Yes 

  Yes 

 Never used 

 Used a couple of times    Advanced user 

WRITING SECTION

The English Speaking Nation  Secondary Teacher Training program takes plagiarism very seriously. Any 

responses copied plagiari ed from the internet, publications  books, articles, etc. , or other people s work 

will dis ualify your application.

I understand that copied plagiari ed information from the internet, publications  books, articles, etc. , or 

other  people s  work  will  dis ualify  my  application  and  will  result  in  my  e clusion  from  the  English 

Speaking Nation  Secondary Teacher Training program competition. 

PLEASE NOTE:  YOU MUST ENTER YOUR INITIALS TO COMPLETE APPLICATION

     Initials of applicant          

JSPI

Jizzakh

english

2008

uzbek

OK

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I.  What are your TWO MOST IMPORTANT long-term goals as a TEACHER TRAINER? How will 

participating in this program bring you closer to accomplishing your two most important long-term goals?

Please write clearly and answer the two writing prompts below in full in 100-1,000 words each.

 At first this is new idea for every teachers.I think  this program gives us more opportunities to reach 

our goals.From this program we will improve our knowledge and have more new expreience except 

our havings. 

As we know this job is more important due to teaching others like writing needed things to the white 

paper.That's why teacher will be able to know the method how to teach smth to pupil. As every pupil 

has diffirent psyhologies and characters, every teacher must be responsible to pupils' in getting 

knowledge and their behaviour. 

As for me i have not only two goals but I have more goals as a Teacher trainer.But i'm not a teacher 

trainer. If I will be a teacher trainer whenever  I will try to teach teachers according to the their 

problems where they faced in problematic situations. As I know every teacher has its own problems 

in teaching pupils according to their pupils' ages. Teacher trainer always gives more important 

information about subject,knowledge,methods and psychology from its experience.

   

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II. Since you became a teacher, how many teacher training events have you attended?  Please describe

a teacher training you attended and believe was unsuccessful. Why do you think it was unsuccessful,

and what would you have done differently if you were in charge of conducting the event?

    

 Truely saying answer to this question I

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