서식 1-1

Application Form for Co-teaching Video Clip Contest

접수 번호 (EPIK 기재용)	2012 EPIK 협력수업 동영상 공모 신청서 Application for EPIK Co-teaching Video Clip Contest 2012
인적사항 Applicant Information	Name		Cell phone	E-mail
	(KT)
	(GET)
학교 및 대상학년	학교 (지도대상: 학년)
단원명
근무처	우편번호
	주소
	전화번호	( )-( )-( )
입금 계좌 정보 Account Information	Account holder's Name		Bank Name	Account Number
	(KT)
	(GET)

본인은 본인의 협력수업 동영상 및 관련 자료가 EPIK 사업과

교육적인 목적으로만 활용되는 것에 동의합니다.

I hereby give permission to use my video clip and other materials

for educational purposes and EPIK related business only.

제출자: 한국인 교사 성명 (인)

Guest English Teacher's Name

Signature

위 교사들은 평상시에도 영어 협력수업을 잘하고 있으며, 본교의 영어교육발전을 위해 늘 헌신하는바, 국립국제교육원 동영상 공모전에 적극 추천합니다.

2012년 11월 일

학교장 성명 (관인)

※학교장 추천 서명 및 관인이 있어야 접수 가능함.

서식 1-2

Lesson Plan Template

Lesson Plan

∘ Title (Unit): (Period: / ) ∘ School level/Grade:

∘ Lesson Focus: Speaking, Listening

∘ Objectives:

-Students will be able to

-․Students will be able to

∘ Key Expressions

-

-

∘ Materials:

Procedure	Details
Presentation:  Introduction of Content and Language (Time: )	(Example) GET: Greetings KT: Introduce the topic using Dingbats, followed by a Powerpoint display. Ss: Guess the expression related to the picture •Warm-up Activity: Running Dictation with a Korean fairy tale
Practice: Students begin to work with language (Time: )	•Activity 1: Jigsaw -Class arrangement: GET: KT KT & GET:

Procedure	Details
Practice: Students begin to work with language (Time: )	•Activity 2: Survey
Production: Students internalize and use language (Time: )
Closing Assessments or other work (Time: 5)

∘ Anticipated Problems & Solutions

-

-

서식 2-1

Application Form for EPIK Life Video Contest

Application No. (for office use)	2012 EPIK Life 동영상 공모 신청서 Application for EPIK Life Video Clip Contest 2012
Applicant Information	Name				Cell phone
	E-mail
School Information	Name of School
	Telephone
	Address (Write in Korean)	(Zip code )
Title of the Video clip
Account Information	Account holder's Name		Bank Name	Account Number

I hereby give permission to use my video clip

for educational purposes and EPIK related business only.

Applicant's name: Signature:

위 사람을 국립국제교육원 EPIK 동영상 공모 학교 대표로

적극 추천하는 바입니다.

I strongly recommend the above person

to apply for the NIIED EPIK Contest as my school's representative.

2012년 11월 일

학교장 성명 (관인)

Name of School Principal's name Official Seal

※Please obtain your principal's signature and an official seal from your school when you apply.

서식 2-2

Introduction Form of EPIK Life Video Clip

Title:

　　　　　　　 Name: School:

	Time	Brief Description of Content
Intro
Body
Closing

서식 3-1

Recommendation Form for EPIK Volunteer Award

Recommendation No. (for office use)	2012 EPIK 자원봉사상 추천서 Recommendation for EPIK Volunteer Award 2012
Volunteer Information	Name			Cell phone
	E-mail
School Information	Name of School
	Telephone
	Address (Write in Korean)	(Zip code )
	Korean Co-teacher	Name
		Cell phone
Title of the essay

Applicant's name: Signature:

위 사람은 지역사회 자원봉사활동은 물론,

학교에서의 수업지도에도 성실히 역할수행을 하였기에

국립국제교육원 ‘EPIK 자원봉사상’에 적극 추천하는 바입니다.

I strongly recommend the above person to apply for the NIIED EPIK Volunteer Award because he/she has devoted themselves not only to the community but also displayed good teaching skills inside the classroom.

2012년 11월 일

학교장 성명 (관인)

Name of School Principal's name Official seal

※1. Please fill out the recommendation form and obtain your principal's signature and an official seal from your school.

2. Scan and send this file when you apply. The winners will be required to submit the original document at a later date.

서식 3-2

EPIK Volunteer Essay Form

Title:

Please share your volunteer experiences.

The EPIK in NIIED (National Institute for International Education) affiliated with the Ministry of Education, Science and Technology encourages and appreciates the volunteer efforts that our teachers have put in outside of the classroom for the betterment of the community in Korea. Here is your opportunity to share with us how your volunteer activities have led to the growth of both your personal life and the lives of those you helped touch.

When sharing your story, some things you may want to consider expanding upon are:

- General information about the organization

- The main duties you performed to help the organization

- The frequency in which you visited and volunteered at the organization

- Challenges faced, if any, during your time volunteering and how you overcame those obstacles

- Positive or negative effects on your professional life (i.e. regular teaching at your school) as a result from your volunteering activities

- Your future plans, both in volunteering and in Korea

Please feel free to use the space given on this page and the next to narrate your story. Any supplemental pictures you feel that would help enhance your story can either be copied and pasted onto the third page, or uploaded as an email attachment when you submit this document.

- Length of essay: A4 3 pages with photos (Please resize each photo less than 100kb.)

- Title: Time New Roman 15 point bold, Body: Time New Roman 12 point normal

※The submission deadline is November 19th (Mon), 2012. Please email your submission to onesimi@mest.go.kr.

Guidelines

※Please fill out the form below and attach it at the end of your essay.

I hereby give permission to use my volunteer essay

for educational purposes and EPIK related business only.

November , 2012

Applicant's name: Signature:

• Personal Information
Name:
E-mail:		Cell Phone Number:
Name of School:		City:
Bank Account Number:		Bank Name:
• Volunteer Experience in Korea
Dates of Volunteer Service From - to	Average Hours/Week Worked (Total hours)	Describe briefly your volunteer work
-	( )
-	( )
• Volunteer Organization Information
Name of Organization:		Phone number:
Website:		City:
Name of Coordinator:		E-mail: