Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
CHECKLIST OF STEPS TO COMPLETE
THE APPLICATION PROCESS
Application Due Dates (check one)
1st Round-January 28, 2011
2nd Round-February 28, 2011
3rd Round-March 28, 2011
Application Components
Franco-American Teachers-in-Training Institute U.S. Pre-Service Teacher Application,
including Personal Data Form & Personal Statements

Please save the completed application with your name followed by FATITI 2011
Application in the filename (ex: Smith John FATITI 2011 Application.doc) and
return electronically to:
Diane Hergenrather
Email: dhergen@uakron.edu
One letter of support from the applicant’s professor, or advisor
Official school transcripts
Copy of Praxis or equivalent content exam results or indication of test date. Please
provide results once they are received. Examination requirements may vary from state
to state. Please provide equivalent examination results if required by your institution.

The letter of support, transcripts and exam results can be mailed to:
Diane Hergenrather
University of Akron
Department of Curricular & Instructional Studies
424 Zook Hall
Akron, Ohio 44325-4205
Note: Please contact Diane Hergenrather at 330-972-7980 or dhergen@uakron.edu with all
questions regarding requirements.
Funding for this program is provided by the Bureau of Educational and Cultural Affairs of the
U.S. Department of State.
Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
PERSONAL DATA FORM
Personal Information
Mr.
Ms.
Application Date
Mrs.
(Last)
(First)
(M.I.)
(Date of Birth)
Current Address
(Street)
(City & State)
(Zip)
(Phone)
(Street)
(City & State)
(Zip)
(Phone)
Permanent Address
(Primary E-Mail)
(Alternate E-Mail)
(Cell Phone)
Emergency Contact(s)
Mr.
Ms.
Mrs.
(Last)
(Home Phone)
Mr.
Ms.
(Work Phone)
(Cell Phone)
(Primary E-Mail)
(M.I.)
(Relationship)
(Alternate E-Mail)
Mrs.
(Last)
(Home Phone)
(First)
(Work Phone)
(Cell Phone)
(First)
(Primary E-Mail)
(M.I.)
(Relationship)
(Alternate E-Mail)
Educational Information
Undergraduate Institution(s)
Degree(s)
Dates Attended
GPA
Graduate Institution(s)
Degree(s)
Dates Attended
GPA
Anticipated Teaching Licensure
Content Area(s)
Grade Level
Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
Field Experience Location(s)
Field Experience Date(s)
Subject(s)
Supervising Teacher
Language(s) Spoken
Years Studied
Oral Proficiency*
Writing Ability*
*Please use the assessment levels described at www.languagetesting.com/corp_opi.htm. To participate, applicants must
have an oral proficiency level in French of at least intermediate low.
Licensure Exam**
Date Taken
Score
Passed (Y/N)
**Please include exams for foundational knowledge in teaching (ex: Praxis PLT) and content knowledge.
Are you currently certified to teach in your state?
Yes
No
In what area(s)/ subjects?
What is your anticipated or actual date of certification/licensure?
When do you plan to student teach? If you have already, please indicate when, where and what subject.
NOTE: This experience may not meet your state’s or university’s requirements for student
teaching and thus we do not recommend using this experience in such a capacity.
What subjects are you hoping to teach in France?
Are you willing/able to teach English as a foreign language/ English as a second language?
Yes
No
Are you willing to observe classes?
Yes
No
Are you willing to serve as a teaching aid?
Yes
No
Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
Experience Abroad (When, Where & How Long):
Extracurricular Activities:
With regard to housing in France:
Are you willing to live in an apartment?
Yes
No
Are you willing to live in a dormitory?
Yes
No
Are you willing to live with a host family?
Yes
No
Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
PERSONAL STATEMENT 1
Name
What is your philosophy of education/teaching?
Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
PERSONAL STATEMENT 2
Name
Why are you interested in having an educational experience in France?
Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
PERSONAL STATEMENT 3
Name
What are your expectations from the program and how do you believe you will benefit from participating?
Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
PERSONAL STATEMENT 4
Name
What challenges do you expect to face in adapting to a new culture and how do you plan to deal with
them?
Franco-American Teachers-in-Training Institute
U. S. Pre-Service Teacher Application
PERSONAL STATEMENT 5
Name
Please describe your current knowledge of French language and culture and your plans to develop or
increase your proficiency if selected for this program.