2019-2020 FCTA Membership Application
Sign in to Google to save your progress. Learn more
Your Offical Name in Chinese *
Please use Chinese input for this question
Your Official Name in English *
You prefer us to call you with what name
Name of the School(s) you currently teach at *
Name of your principal/direct supervisor *
This is for us to send them emails to promote your success.
Email of your principal/direct supervisor *
This is for us to send them emails to promote your success.
School Address *
What is the age of your students *
Please check all that apply
Required
Your school/program is *
Required
Your WORK e-mail address *
Your Personal e-mail adress
Your email of preference? *
Phone # at work *
Home Phone #
Cell Phone # *
Home Address *
What levels of Chinese classes does your school offer?
What textbook(s) do you use
My check of $25 membership fee is made payable to Florida Chinese Teachers Association and Mail to: Ms. Lichun (Elena) Yang, 7575 SW 156th Street, Palmetto Bay, FL 33157 *
The membership year is 11-01-2019 to 10-31-2020.  Please submit the date you mailed out your check.
MM
/
DD
/
YYYY
My Check number is: *
Your membership does not start until we have received your check.  Please give 5-7 days for check delivery.  If you do not receive email confirmation from us, please contact us at fctapresident@gmail.com.  Thank you.
Your FL Chinese Teaching Certification Status *
Does your school require students to have an iPad or tablet? What are the students required to use it for? *
Would you like to join FCTA WeChat 微信 group? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy