Intrax Teacher Exchange Program Registration Program InformationPlease check the box that best describes you:*I meet the qualifications for teaching at the primary, including pre-kindergarten, or secondary levels in schools in my home country. I am working as a teacher in my home country at the time of application and have at least two years of full-time teaching experience.I'm not currently working as a teacher in my home country but otherwise meet the qualifications for teaching at the primary (including pre-kindergarten) or secondary levels in schools in my home country. I have at least two years of full-time teaching experience within the past eight years. I have completed an advanced degree (beyond a degree equivalent to a U.S. bachelor’s degree) in education or in an academic subject matter that I intend to teach or that is directly related to my teaching subject field within 12 months of my application submission date for the program.EligibilityI possess, at a minimum, a degree equivalent to a U.S. bachelor's degree in either education or the academic subject field in which I intend to teach. My experience satisfies the teaching eligibility standards of the U.S. state in which I will teach (e.g., meet minimum educational requirements, pass teacher training coursework at a sufficiently proficient level, have provided an evaluation of foreign teaching preparation coursework, have demonstrated the requisite prior teaching experience, etc.). I am of good reputation and character and will provide any required criminal background or other checks. I agree to come to the United States temporarily as a full-time teacher of record in an accredited primary or secondary school, understanding and agreeing that exchange teachers may teach a variety of subjects and levels at their host school or schools, if qualified, but, at the pre-kindergarten level, may teach only in language immersion programs.* I confirm and agree with the statement above. Program InformationDesired Program Duration*1 Year2 Years3 YearsDesired Start Date* Date Format: MM slash DD slash YYYY Please enter the contact information at which we can best reach you:Please enter your name and city of birth exactly as it appears in your passport.Last/Family Name*First Name*Gender*FemaleMaleEmail Address:* Telephone Number*Other (Facebook, LinkedIn, etc.)Date of Birth* Date Format: MM slash DD slash YYYY City of Birth*Country of Birth*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBaker IslandBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic RepublicCongo, Republic Of TheCook IslandsCoral Sea IslandsCosta RicaCote D IvoireCroatiaCubaCyprusCzech RepublicCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabon"GambiaGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHowland IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan De Nova IslandKazakhstanKenyaKingman ReefKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle OfMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and The GrenadinesSamoa (Western Samoa)San MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSpratly IslandsSri LankaStatelessSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUSSRUnited Arab EmiratesUnited KingdomUnited StatesUnknownUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWake IslandWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabweCountry of Citizenship*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBaker IslandBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic RepublicCongo, Republic Of TheCook IslandsCoral Sea IslandsCosta RicaCote D IvoireCroatiaCubaCyprusCzech RepublicCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabon"GambiaGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHowland IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan De Nova IslandKazakhstanKenyaKingman ReefKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle OfMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and The GrenadinesSamoa (Western Samoa)San MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSpratly IslandsSri LankaStatelessSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUSSRUnited Arab EmiratesUnited KingdomUnited StatesUnknownUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWake IslandWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabweI currently live in:*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBaker IslandBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic RepublicCongo, Republic Of TheCook IslandsCoral Sea IslandsCosta RicaCote D IvoireCroatiaCubaCyprusCzech RepublicCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabon"GambiaGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHowland IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan De Nova IslandKazakhstanKenyaKingman ReefKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle OfMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and The GrenadinesSamoa (Western Samoa)San MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSpratly IslandsSri LankaStatelessSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUSSRUnited Arab EmiratesUnited KingdomUnited StatesUnknownUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWake IslandWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabwePlease briefly tell us how/where you heard about Intrax:*Please enter your permanent contact information. This is usually your home country residence information.Street Address*Street Address (if applicable)City*Postal Code*Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBaker IslandBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic RepublicCongo, Republic Of TheCook IslandsCoral Sea IslandsCosta RicaCote D IvoireCroatiaCubaCyprusCzech RepublicCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabon"GambiaGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHowland IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan De Nova IslandKazakhstanKenyaKingman ReefKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle OfMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and The GrenadinesSamoa (Western Samoa)San MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSpratly IslandsSri LankaStatelessSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUSSRUnited Arab EmiratesUnited KingdomUnited StatesUnknownUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWake IslandWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabweU.S. Host School Contact InformationPlease enter the specific school name below. Do NOT enter the school district as your school. Please note that you must already have received an offer letter from this U.S school to register with Intrax.Name of your prospective U.S. Host School*Please enter your prospective host school hiring manager’s or supervisor's contact information:Title*Ms.Mr.Supervisor/Manager Last Name*Supervisor/Manager First Name*Street Address of School*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZIP Code*Email Address of School Hiring Manager* Telephone Number*Email Address of Additional School Hiring Manager (if applicable) Telephone NumberSchool Website* Agency/Law Firm InformationDid a law firm or Intrax Partner Agency assist you with finding a U.S. Host School or with any other aspect of this application?*YesNoName of Agency/Law Firm*Agency/Law Firm Representative information:Agency Representative First NameAgency Representative Last NameEmail Address Telephone NumberAgency Website EmailThis field is for validation purposes and should be left unchanged.