One-Year Teaching Intern Application Form

Along with this form, you must submit the following documents to complete your application:

1. An updated resume (required under Supporting Documents).

2. A one page statement explaining why you are applying for this teaching internship and what strengths, talents or skills you would bring to the Academy (required under Supporting Documents).

3. The names, addresses, telephone numbers and e-mail addresses of three people who know you well (including
two teachers in your academic field) and advise them that we may contact them to request a recommendation from them.

4. An official copy of your most recent transcript. Transcripts may not be attached to this form. Please have transcripts sent directly from the school with an official seal and/or signature. Send to: Teaching Internship Program, Dean of Faculty’s Office, Phillips Exeter Academy, 20 Main Street, Exeter, NH 03833.

5. Any additional documents that are not required as part of your application may be attached to this form or
sent to: teaching_opportunities@exeter.edu.


Phillips Exeter Academy is an Equal Opportunity Employer.

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Information

I am applying for a teaching intern position in the following department:*

First name: *
Preferred first name:
Middle name:
Last name: *
Email: *
Confirm email: *

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Present Address

Address:*
City:
State/Province:	Please Select —- US States —- Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming —--------- Puerto Rico —--------- —- Canadian Provinces —- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other   (US/Canada only)
Zip/Postal code:
Country:*	Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Icel And India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Dem People'S Republic Korea, Republic Of Kuwait Kyrgyzstan Lao People'S Dem Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Moldova, Republic Of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Ant Illes New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint K Itts And Nevis Saint Lucia Saint Vincent, The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia , S Sandwich Is. Spain Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard, Jan Mayen Islands Sw Aziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Is. Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
Present phone number:*

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Permanent Address

Same as present address?

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Education

Secondary school (include city and state): *
College (include city and state): *
Anticipated graduation date: *
Anticipated degree: *
Field of concentration: *
Cumulative GPA: *
GPA in field of concentration: *
Minor field:
Honor/Prizes:

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Additional Information

Are you legally authorized to work in the United States? *

YesNo

Courses you are taking or plan to take this year: *
Experiences in athletics/extracurricular activities: *
Other interests:

How did you learn about the position?
	Opening listed on the Academy's web site (www.exeter.edu)
	Saw it advertised in a publication or on a website.	Please provide name:
	A faculty member or employee told me about it.	Please provide name:
	Attended a job fair.	Please provide name:
	Sent resume without knowing of a specific opening.
	Other	Please explain:

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Volunteering/Employment Experience

Organization	Areas of Responsibility	Dates

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References

Please list the name, telephone number, and email address of three references (including two teachers in your academic field). These are required fields. If you do not know the telephone or email for your reference, please indicate "n/a" in the field.

-- Reference #1 --
Name: *
Telephone: *
Address: *
Email: *
This reference does not have an email address:
-- Reference #2 --
Name: *
Telephone: *
Address: *
Email: *
This reference does not have an email address:
-- Reference #3 --
Name: *
Telephone: *
Address: *
Email: *
This reference does not have an email address:

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Supporting Documents

Please attach the following documents to be included with your application. PDF format is preferred to preserve document formatting. Other acceptable formats are Microsoft Word (.doc, .docx) and text (.txt).

You may not attach transcripts to this form. Official transcripts must be sent directly from the school.

Attach resume:*
Attach one-page statement:*
Additional document:
Additional document:
Additional document:

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If you have any other additional documents you would like to submit to the hiring committee, please email them as attachments to teaching_opportunities@exeter.edu. Please include your name and the position you are applying for
in the email.


Submission of your application acknowledges the following:

I certify that the information given by me in this application is true in all respects. I authorize the past employers, educational institutions, all reference and any other persons to answer all questions asked concerning my ability, character, reputation, educational background, and previous employment record and history.

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