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ENGLISH SECOND LANGUAGE TEACHERS’ NETWORK
MEMBERSHIP FORM FOR 2011-2012
- Regular Member: ESL teachers, consultants and freelancers
- Associate Member: Schools, individuals who hire others (other than themselves)
NAME _________________________________________________
ADDRESS ______________________________________________
______________________________________________________
(Municipality) (Postal Code)
TELEPHONE ____________________ FAX ____________________
E-MAIL ___________________________________________
Do you give permission to have your name, co-ordinates, experience and interests made available (upon request, but not in free circulation) to paid regular members? o yes o no
How much ESL teaching experience do you have?
0 to one year _____ 3 to six years _____
1 to three years _____ 6 years + _____
What school(s) have you taught for? __________________________
What kinds of workshops would you be interested in? (for example: self-employment, games, classroom management, teaching tools…)
_______________________________________________________
_______________________________________________________
Do you have a speciality that you would be willing to share with the group?
_______________________________________________________
Where did you hear about ESLTN? ____________________________
Thanks for your interest in the ESLTN. ESLTN is supported by membership dues. At this time, those dues are $15.00 per year. Please return this form with the membership fee (check or money order) to:
ESL Teachers' Network
c/o John Cheetham,
190 Ave. de Lausanne,
Charlesbourg, QC, G2M 0E9
If you have any questions, contact our Chairperson Linda Conant at
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