Teach and Learn in Korea (TaLK) National Institute for International Education (NIIED) Ministry of Education (MOE) 81 Ihwajang-gil, Jongno-gu, Seoul, 110-810, Republic of Korea . Tel: +82.2.3668.1399. Fax: +82.2.764.1328. Website: www.talk.go.k r TaLK Program Application (A) First Name Middle Name Marital Status (√) Gender (√) Married( ) Not Married( ) M( ) F( ) Passport Number & Expiration Date Last Name Date of Birth Age Place of Birth (Country) Citizenship Permanent Residency Dual/Multiple Citizenship (√) I have read and understood the guidelines for Korean Nationality Status Check Yes ( ) No ( ) ( ) Guidelines for Korean Nationality Status Check (See next page) If "No," disregard the next section, "Dual/Multiple Citizenship," ( ) I confirm that I hold dual/multiple citizenship. and continue with the rest of the application. ( ) I confirm that I do not hold dual/multiple citizenship. Home Phone (Country Code + Area Code + Local number) Mobile Primary E-mail Address / Login ID Korean Heritage Contact Information Emergency Contact Street Address City Name Relationship Street Address City State/Province Zip Code Country Contact Number State/Province Mobile Zip Code Country Education Name of Institution Start date (mm/yyyy) ~ End date (mm/yyyy) State & Country Elementary School Middle School High School University/College Total Academic Credit Hours : ________________ Major Current Status (√) ( ) 1st year ( ) 2nd year ( ) 3rd year ( ) 4th year ( ) Graduated(AS/AA) GPA: _______________ ( ) Graduated(BS/BA) Work or Teaching Experience/ Training Course Start date (mm/yyyy) ~ End date (mm/yyyy) Have you had any prior teaching experiences? Do you have any teaching certificates? Brief Description Yes ( ) Yes ( ) No ( ) No ( ) State & Country If yes, for how long? If yes, please specify: Contract Term & Placement Contract Term (√) Joint Application (√) Relatives in Korea 6 Months ( ) 1 Year ( ) Name Relationship ** Priority consideration is given to applicants who choose the 12-month scholarship term. *It is strongly recommended for degree holders or those who are completing their final semester/quarter at university to choose this option. *If you are an Overseas Korean male with dual/multiple citizenship without an official waiver of military service, you must choose 6 months. Gender Relationship City/Province Contact Number Survey What is your Korean verbal proficiency? (√) How did you learn about TaLK? (Please select all that apply) (√) None ( ) Low ( ) Intermediate ( ) High ( ) ( ) TV Commercial ( ) Radio ( ) Newspaper Name of newspaper:_____________________ ( ) Internet Website: ______________________________ ( ) TaLK Scholars ___________ ( ) Family Members ( ) Referred by ( ) Friends ( ) University Staff ( ) Embassy/Consulate ( ) Other _________________ ( ) Other I certify that all the information given in this application, supporting documents and interviews is true and correct to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may disqualify my application or result in immediate termination. I authorize the National Institute for International Education to investigate all statements made on my application of scholarship. I further authorize any present employer or supervisor, past employer and supervisor, college, university of other educational institutions (or their agents or employees) to respond to questions concerning information related to previous employment or scholarships. Finally, I acknowledge that any documents submitted to the TaLK Program will not be returned to me. Applicant’s Signature: ( ) Date of Submission: ( * Please print out this application and sign your name before submitting it to your application office. ) Page 1 / 2 Last Update: Jan 2014 Teach and Learn in Korea (TaLK) National Institute for International Education (NIIED) Ministry of Education (MOE) 81 Ihwajang-gil, Jongno-gu, Seoul, 110-810, Republic of Korea . Tel: +82.2.3668.1399. Fax: +82.2.764.1328. Website: www.talk.go.k r Guidelines for Korean Nationality Status Check *This section pertains only to individuals of Korean heritage who have turned 22-years-old after May 4th, 2010. I. DETERMINING WHETHER YOU HAVE KOREAN CITIZENSHIP Regardless of your birthplace and current citizenship, you hold Korean citizenship if your father was a Korean citizen or Permanent Resident of Australia, Canada, Ireland, New Zealand, South Africa, the U.K. or the U.S. at the time of your birth. Please verify your Korean citizenship status with the Korean Embassy/Consulate in the country of your residence. A. If the Korean Embassy/Consulate determines that you hold Korean citizenship, you can enter Korea on a Korean passport. Please seek consultation from the Korean Embassy/Consulate about obtaining a Korean passport. If you wish to enter on a passport of your current residence, you must first file a nationality renunciation report. Please see “Retaining/Renouncing Your Korean citizenship” section below for an overview of the eligibility criteria. B. If the Korean Embassy/Consulate determines that you DO NOT hold Korean citizenship, you must consult the Korean Embassy/Consulate about obtaining an appropriate visa (E2-2 or F-4). Visa Type E2-2 Public Institution Foreign Language Instructor *Not E2-1 Eligibility Requirement - You MUST be a Bachelor’s degree candidate (3rd- or 4th-year student) or a Bachelor’s/ Associate’s degree holder. - If you are a 1st- or 2nd-year undergraduate student, please see the F-4 visa section below. - You MUST enter Korea on the F-4 visa if you are a 1st- or 2nd-year undergraduate student. F-4 Overseas Korean - If you meet the requirement for the E2-2 visa, you are also eligible for the F-4 visa. Please see the E2-2 visa section above. II. RETAINING/RENOUNCING YOUR KOREAN CITIZENSHIP If it is determined that you hold Korean citizenship, you have the option to retain or renounce your Korean citizenship. By retaining it, you can arrange to enter on a Korean passport; and by renouncing it, you can arrange to enter on an E2-2 or F-4 visa. If you cannot renounce your Korean citizenship, you must obtain a Korean passport. Please refer to general guidelines below and consult with the Korean Embassy/Consulate for further directions as necessary. Females: Before turning the age of 22, you have the option to keep or renounce your Korean citizenship. Please refer to “Section I.B.” above. Your citizenship status will not affect the duration of your TaLK scholarship term. Males: By March 31st of the year you turn 18, you have the option to keep or renounce your Korean citizenship. After the aforementioned date, you are NOT eligible to file for Korean Nationality Renunciation unless you have fulfilled Korean military duty or have been waived from serving in the military. If you have neither fulfilled Korean military service nor received a waiver for it, you can only participate in the TaLK Program for six (6) months and the extension of your TaLK scholarship will not be granted. [DISCLAIMER] The Seoul TaLK Office provides information as instructed by the Korean Ministry of Justice and appropriate government bodies. Since the TaLK Office is not authorized to issue visas, the TaLK Office does not hold any legal responsibility for the information presented above. All inquiries regarding “Korean Nationality Status” should be directed to the nearest Korean Embassy/Consulate. Please visit the Korean Immigration Nationality Department’s Web site for the most updated information about Korean nationality determination. Page 2 / 2 Last Update: Jan 2014