Preliminary Application Form
First and Last Name
Phone Number
E-mail Address
Date of Birth
mm/dd/year
Gender
Marital Status
Number of
Children
Education
background:
Include majors,
degrees, clubs
Name of current
college/university
Teaching
experience (if any)/
past experience
qualifying you for
the position
Current Passport
Nationality
Native Language
Other Specific Teaching
Dates (Please Explain)
Teaching Date:
(any combination)
Preferred Locations,
if any
Preferred Teaching
Age
Would you like to be
placed with friends
or family also
applying? If so,
please list names.  
Have you ever been
convicted of a
crime?  
Please describe any
previous international
travel including reason
for journey and length
of stay
Name of person
referring you to China
Horizons?
Any known
medical/health
conditions that would
affect your stay in
China?
To inquire into the likelihood of your application being accepted, please fill out the
preliminary application form below and you will be contacted within three business
days with a recommendation in regards to your application information.  
China Horizons Ltd. Co. is a Limited Liability Company.  
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