APPLICANTS NAME: _____SHOAIB YOUNIS __________

CITY/COUNTRY:______QUETTA, PAKISTAN_________
Teaching Excellence and Achievement (TEA) Program for Pai!tan
A program of the United States Embassys Public Affairs Section (PAS) implemented by the United States
Educational Foundation in Paistan and !"E#
Application for Pakistani Secondary Level English Langage
!eachers fro" #overn"ent Schools
$he United States Embassys Public Affairs Section and $he United States Educational Foundation in Paistan
announce an open competition for a program that %ill send outstanding in&ser'ice( secondary&le'el( go'ernment
school teachers to the U)S) for a professional de'elopment opportunity) $EA Paistan sees to:
Enhance teachers e*pertise in their teaching discipline and e+uip them %ith a deeper understanding of best
practices in teaching methods( lesson planning( and instructional technology
,ontribute to impro'ing teaching in Paistan by preparing participants to ser'e as teacher leaders %ho( upon
returning to their home country( %ill apply and share their e*perience and sills %ith their peers and students)
-./0 E.1/!S2 /A.1UA1E $EA,2E"S A"E E/!1!3/E $- APP/0
Please return completed applications to:
Program "e#artment, P$%$ &ox ''(), I!lama*ad

"EA"+INE,
-.l/ (0, (1'2

3or more information, go to,
%%%)usefpaistan)org
or call 456&7896944
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____

P$O#$A% O&E$&IE'
The Teaching Excellence and Achievement (TEA) Program for Pai!tan %ill pro'ide Paistani secondary le'el(
go'ernment school English teachers %ith uni+ue opportunities to de'elop e*pertise in their sub:ect area and enhance
their teaching sills)
$he program %ill pro'ide appro*imately 84 secondary school teachers the opportunity to participate in a si*&%ee non&
degree( non&credit( academic program at a U)S) uni'ersity) $he participants %ill tra'el to the United States in early
;465) $EA Paistan pro'ides academic seminars focusing on teaching methodologies( curriculum de'elopment( lesson
planning( teaching strategies( and instructional technology training) $he program %ill also include a field e*perience at
a U)S) secondary school %here participants %ill %or closely %ith U)S) teachers and teach and present to U)S)
students) ,ultural opportunities( mentoring( and support %ill be pro'ided to participants throughout the program)
After returning to their home country( teachers %ill be eligible to participate in a small grants program to re+uest funds
for essential teaching materials( follo%&on training for other teachers( collaborati'e pro:ects bet%een their home
schools and U)S) schools( and other acti'ities that build on the professional de'elopment e*perience)
ELI#IBILI!Y $E(UI$E%EN!S
An applicant must:
3e a current full&time secondary le'el (class <&64)( go'ernment school teacher in a school that ser'es a primarily
local (not e*patriate) population=
2a'e fi'e or more years of classroom e*perience in En,li(+ lan,a,e teac+in,=
3e a citi>en of and reside in Paistan=
-btain a minimum score of 854 on the $-EF/ (paper&based) or e+ui'alent English language proficiency
e*amination=
?emonstrate a commitment to continue teaching for at least fi'e years after completion of the program= and
2a'e submitted a complete application pacage)
APPLICATIONS NOT MEETING THE ABOVE ELIGIBILITY REQUIREMENTS WILL NOT BE FORWARDED TO THE SELECTION COMMITTEE.
USEFP RESERVES THE RIGHT TO VERIFY ALL OF THE INFORMATION INCLUDED IN THE APPLICATION. IN THE EVENT THAT THERE
IS A DISCREPANCY, OR INFORMATION IS FOUND TO BE FALSE, THE APPLICATION BE IMMEDIATELY DECLARED INVALID AND THE
APPLICANT INELIGIBLE.
E*clusions: !f you ha'e participated in other U)S) ?epartment of State&funded or USEFP programs( please tal to the Fulbright ,ommission in
Paistan about your eligibility) Staff or family members of staff at a U)S) 1o'ernment Post or Fulbright ,ommission are not eligible to apply) USEFP
does not discriminate against grant applicants based on race( color( religion( se*( age( national origin( disability( or any other protected characteristic
as established by U)S) la%)
P$O&ISIONS O) !HE )ELLO'SHIP
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
Teaching Excellence and Achievement (TEA) Program for Pai!tan
A##lication for Pai!tani Engli!h +ang.age Teacher!
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____
@&6 'isa support=
A pre&departure orientation held in the participants home country=
"ound&trip airfare toAfrom and %ithin the United States=
A Belcome -rientation in Bashington( ?,=
Academic program fees=
2ousing (generally shared %ith other program fello%s) and meals=
/imited accident and sicness medical co'erage (does not co'er pre&e*isting conditions)=
/ocal transportation to the practicum school (if necessary)=
A daily allo%ance for incidentals during the uni'ersity academic program
A booAprofessional de'elopment allo%ance=
A baggageAshipping allo%ance=
A ,losing Borshop in Bashington( ?,= and
$he opportunity to apply for alumni small grants)
SELE*!ION P$O*ESS AN+ *$I!E$IA
$EA Paistan Fello%s %ill be selected through a merit&based open competition based on the criteria belo%) $op
candidates %ill be inter'ie%ed by an inter'ie% panel and must tae the $-EF/ ($est of English as a Foreign /anguage)
or e+ui'alent English language e*amination or pro'ide 'alid English test results dated September ;468 or later)
Selection ,riteria (not in order of importance):
?emonstrated commitment to teaching English in Paistan=
?emonstrated leadership potential=
Professional and educational e*perience and achie'ements=
Potential for de'eloping long&term linages bet%een U)S) and home&country educational institutions and schools=
Preparedness (including maturity( fle*ibility( and ability to function independently) for an inten!ive U)S)&based
training program %ith 'ery limited free time for personal tra'el or sightseeing=
Billingness and capacity to %or collaborati'ely %ith international peers to foster a positi'e learning community for
professional de'elopment=
Ability to e*press ideas clearly and effecti'ely=
English language sills ade+uate to manage course%or( de'elop lesson plans( and team&teach in U)S) schools (a
minimum paper&based or e+ui'alent $-EF/ score of 854 is re+uired for $EA participation))
Preferably limited or no pre'ious tra'el to the United States= and
Priority %ill be gi'en to teachers from rural( under&resourced schools %ho ha'e had limited or no pre'ious
professional de'elopment opportunities)
#ENE$AL APPLI*A!ION INS!$U*!IONS , SUB%ISSION #UI+ELINES
Please ans%er all +uestions on the application)
Please type or print in blue or blac in)
!f a +uestion does not apply to you( enter .AA (not applicable))
!nclude your full( legal name as spelled in your passport (if a'ailable) or on other photo identification)
!nclude complete contact information (including >ipApostal codes for all addresses and city codes for all phone and
fa* numbers( if a'ailable))
Brite your full name( city( and country in the top right corner of each page of the application)
2and sign the Pri'acy Policy on the last page %ith in)
INS!I!U!IONAL SUPPO$! AN+ $E)E$EN*E )O$%
All applicants must include the !nstitutional Support and "eference Form( %hich must be completed by your super'isor
at the school %here you are employed) $he form must be signed in in) An English translation must be pro'ided if the
form and reference letter are not %ritten in English)
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____
A com#leted a##lication incl.de! all element! li!ted *elo4$ 5o. ma/ !.*mit /o.r a##lication to the United
State! Ed.cational 3o.ndation in Pai!tan in /o.r co.ntr/ in #a#er form in the follo4ing order,
6) ,ompleted and signed application( including attested copies of degrees and transcripts(
;) !nstitutional Support and "eference Form completed by your super'isor( and
9) A copy of the photo and information pages of your passport (or photo identification))
P$O#$A% !I%ELINE
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
@uly ;9( ;468 Application ?eadline
AugustA SeptemberA -ctober ;468 $-EF/ $estingA!nter'ie%s
-ctober ;468 .otification of Finalists
.o'ember ;468 Cisa Processing
?ecember ;468 Pre&?eparture -rientation
@anuary D February ;465 U)S) Program ?ates (sub:ect to change)
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____

Teaching Excellence and Achievement (TEA) Program for Pai!tan
Pai!tani Engli!h +ang.age Teacher!6 A##lication
A #rogram of the United State! Em*a!!/6! P.*lic Affair! Section (PAS) im#lemented */
the United State! Ed.cational 3o.ndation in Pai!tan and I7E8
Please complete A// information re+uested) !ncomplete applications %ill not be accepted)
Section I$
'$ Name, S2-A!3 0-U.!S ______
as listed on passport: (First) (Eiddle) (Surname)
($ 9o.ntr/ of 9iti:en!hi#, PAF!S$A.
0$ 9o.ntr/ of +egal 7e!idence, PAF!S$A.
2$ Place of &irth, GUE$$A PAF!S$A.
as listed on passport: (city) (country)
;$ "ate of &irth, -,$-3E" ;H
th
6H75 _____
(month) (day) (year)
<$ =ender, Eale Female
>$ N.m*er of 5ear! Teaching, (not incl.ding #re?!ervice@!t.dent teaching), 5 0EA"S
)$ Ahat cla!!e! do /o. teachB (chec all that a##l/)
En,li(+ *o) nati0e (pea1e)( En,li(+ *o) non2nati0e (pea1e)(

En,li(+ lite)at)e En,li(+ ,)a--a)
Ot+e)3(4: ____________________________________________
C$ Dome Eailing Addre!!,
StreetA3uilding .umber : I&5 A I7A 2A@! "E2EA$U//A2 S$"EE$ Apartment .umber
(if applicable)
,ity or $o%n A/AE?A" "-A? GUE$$A Postal !nde*A,ode 87300

,ountry PAF!S$A. "egionAPro'inceAState 3A/U,2!S$A.
(if applicable)
$elephone number JH;&76&;795II9 Eobile $elephone: JH;&969&78<I7;8
(country code J city code J number) (country code J city code J number)
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____
E&mail:
shoaib)younis)+taKgmail)com

'1$ School Addre!!,
.ame of School: 1-CE".EE.$ 3-0S 2!12 S,2--/ E-$! "AE "-A? GUE$$A

StreetA3uilding .umber 1U"?A$ S!.12 "-A? GUE$$A Apartment .umber
(if applicable)
,ity or $o%n GUE$$A Postal !nde*A,ode 87300

,ountry PAF!S$A. "egionAPro'ince)AState 3A/U,2!S$A.
(if applicable)
''$ School Information,
(a) !s your school in an urban or rural areaL Urban "ural
(b) !s your school go'ernment&run or pri'ateL 1o'ernment&run Pri'ate
$otal number of students at the school: 544
$otal number of full&time teachers at the school: 95
$otal number of part&time teachers at the school: .!/
1rade le'els taught at the school: SE,-.?A"0
Age range of students: 5 0EA"S D 67 0EA"S
A'erage number of students per class: 54
!n less than ;44 %ords( please tell us briefly about your school and the community it ser'es) Bho are the studentsL
Bhat do they do %hen they lea'e school or complete their studies at your schoolL Bhat ind of %or do their parents
doL Please briefly share any other important information about the school community here)
Ey school naming 1-CE".EE.$ 3-0S 2!12 S,2--/ E-$! "AE "-A? GUE$$A is situated in the centre of the
city Guetta( 3aluchistan( Paistan) School setup is from Eontessori to ,lass 64 and it is 1o'ernment&"un School)
$eachers of primary section (Eontessori to ,lass 5) are not %ell trained) School has a committee naming P$SE,
(Parent $eacher School Eanagement ,ommittee) established to o'ercome any problem arises in managerial acti'ities
of school %hether it is financial based or social based) Students are of Pashtoon and 3aloch families and it is difficult
for them to understand Urdu (.ational /anguage) and English (!nternational /anguage) as their en'ironment and
family culture is based on tribal system) Students come mostly from far of places and belong to poor and middle class
families) Eost of students %or %ith their parents after lea'ing school to support their family financially) $heir parents
are illiterate and ha'e 2andcart to sell different products on it to support their family)
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____
'($ 2a'e you e'er been arrested or con'icted of a crime (e*cluding minor traffic 'iolations)L
0es .o
!f yes( please pro'ide additional information( including a description of the factual circumstances of the arrest or
con'iction and any supporting documentation)
'0$ 2as a teacher at your school participated in the $EA Paistan programL !f yes( %hat is hisAher name( and %ere
the dates of participation in the $EA ProgramL
0es .o
.ame(s): ______________________________________________

?ates of Participation: _________________________________
'2$ Are you currently applying to any other U)S) go'ernment&sponsored program( incldin, online p)o,)a-(L
0es .o
!f yes( please specify %hich program:
Program ?ates: _________________________________________________________________
.ame of sponsoring organi>ation:
';$ Are you currently applying or do you plan to apply to any professional de'elopment program in another countryL
0es .o
!f yes( please specify %hich program:
Program ?ates: _________________________________________________________________
.ame of sponsoring organi>ation:
'< (a)$ 2a'e you pre'iously tra'eled on or participated in a U)S) go'ernment sponsored programL

0es .o
!f yes( please specify %hich program:
Program ?ates: _________________________________________________________________
.ame of sponsoring organi>ation:
,ountry tra'eled to %hile on the program (if applicable):____________________________
'< (*)$ 2a'e you tra'eled to any other country on an e*change programL
0es .o
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____
!f yes( please specify %hich program:
Program ?ates: _________________________________________________________________
.ame of sponsoring organi>ation:
,ountry tra'eled to: _____________________________________________________________
'>$ 2a'e you tra'eled to the U)S) or outside your home country pre'iouslyL
0es .o
!f yes( please pro'ide further detail in the table belo%:
9it/, 9o.ntr/ Fi!ited "ate! of Travel
7ea!on for Fi!it
(Aor@ To.ri!m@ Exchange Program)
')$ Please list other international e*posure you ha'e had including %oring %ith international organi>ations or
foreigners in your home country)
'C$ 2o% did you hear about the $EA Paistan programL
,olleague Program Alumnus Friend School Administrator
Publication: Bebsite:
-ther:
(1$ Ed.cation, Please list your educational bacground)
In!tit.tion@School
G of
/ear! of
!t.d/
3ield of St.d/
"egree@9ertificate
(&A, &S, Ea!ter!, Ph", etc$)
5ear of
"egree
3U!$EES GUE$$A 9 F!.A.,E E3A ;466
U.!CE"S!$0 -F 3A/-,2!S$A. ; E,-.-E!,S EA (Pri'ate) ;464
U.!CE"S!$0 -F 3A/-,2!S$A. 6 E?U,A$!-. 3)Ed ;447
U.!CE"S!$0 -F 3A/-,2!S$A. ; EA$2 M S$A$S 3)A ;44<
3)3)!)S)E GUE$$A ; ,-EPU$E" !,S ;449
3)3)!)S)E GUE$$A ; S,!E.,E SS, ;446
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____
('$ 3oreign +ang.age Proficienc/, Please rate your proficiency for each language you no% in the categories of
reading( %riting( listening comprehension( and speaing) Please rate on a scale of 6 to 5( %ith 6 being lo%( and 5
being high)
+ang.age 7eading Ariting 9om#rehen!ion S#eaing
E.1/!S2 5 9 ; ;
U"?U 5 8 9 8
PU.@A3! 8 8 9 8
PE"S!A. ; 6 6 6
(($ Additional Ed.cation or Profe!!ional Ex#erience H Activit/, Please tell us %hat acti'ities you ha'e pursued
inside and outside the classroom to maintain your professional training as an educator) !n addition( please list
professional organi>ations that you are a member of and rele'ant %or in your community outside of school) Please
emphasi>e collaborati'e and leadership acti'ities)
(0$ Aor Di!tor/, Please list belo% your %or history for the past fi'e years) Plea!e li!t /o.r c.rrent #o!ition fir!t$
Onl! one (ection i( nece((a)! pe) (c+ool$ e0en *o) -ltiple !ea)(/

,urrent School !nformation
.ame of school: 1-CE".EE.$ 3-0S 2!12 S,2--/ E-$! "AAE "-A? GUE$$A
?epartment: E?U,A$!-. PositionA$itle:SE,-.?A"0 S,2--/ $EA,2E"
/ength of employment (dates): ;H AP"!/ ;468 & $!// ?A$E
1rade le'el(s) taught and age range of students: 1"A?E 7( H M 64) ( 6; 0EA"S & 67 0EA"S )
.umber of hours per %ee teaching: 94 2-U"S
$itle of classes taught: ,/ASS 7( ,/ASS H M ,/ASS 64
Additional duties: 2EA? -F E#AE!.A$!-. ,-EE!$$EE M $!EE$A3/E EA.A1EEE.$
Pre'ious School !nformation
.ame of school: 1-CE".EE.$ SA.?EEA. 2!12E" SE,-.?A"0 S,2--/ GUE$$A (3-0S)
?epartment: E?U,A$!-. PositionA$itle: SE,-.?A"0 S,2--/ $EA,2E"
/ength of employment (dates): ;H @U/0 ;464 D ;H AP"!/ ;468
1rade le'el(s) taught and age range of students: 1"A?E <( I( H M 64) ( 6; 0EA"S & 67 0EA"S )
.umber of hours per %ee teaching: 94 2-U"S
$itle of classes taught: ,/ASS <( ,/ASS I( ,/ASS 7( ,/ASS H M ,/ASS 64
Additional duties: ,-EPU$E" /A3 !.,2A"1E( EEE3E" -F S$U?E.$ AFFA!"S
Pre'ious School !nformation
.ame of school: .EB 1"A.? F-/FS 1"AEEA" 2!12 S,2--/ GUE$$A
?epartment: E?U,A$!-. PositionA$itle: SE,-.?A"0 S,2--/ $EA,2E"
/ength of employment (dates): 46 EA",2 ;44H D 96 ?E,EE3E" ;44H
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____
1rade le'el(s) taught and age range of students: 1"A?E <( I( H M 64) ( 6; 0EA"S & 67 0EA"S )
.umber of hours per %ee teaching: 94 2-U"S
$itle of classes taught: ,/ASS <( ,/ASS I( ,/ASS 7( ,/ASS H M ,/ASS 64
Additional duties:
(2$ 9la!!room +e!!on, ?escribe the most successful lesson you e'er taught) 2o% did you planAdesign the lessonL
Bhat class acti'ities did you conductL 2o% %as the lesson recei'ed by your students( and ho% did you assess your
students learningL
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS __________
CITY/COUNTRY:______QUETTA, PAKISTAN_________
(;$ Aeel/ Sched.le,
Plea(e p)o0ide a (a-ple o* !o) 5ee1l! (c+edle) $his should include all classes you are currently teaching including planning and prep time( as %ell
as additional responsibilities outside of teaching) !f you teach in more than one school( please indicate the school name) A sample is pro'ided abo'e)
School Name "a/ of the
Aee
Time of "a/ +ength of cla!!@re!#on!i*ilit/ (in
min.te!)
S.*Iect =rade +evel N.m*er of
St.dent! in the
9la!!
Age of !t.dent!
Eonday H:44&H:85am 85 minutes 1eography 1rade H 55 Students 68&65
Eonday 64:44&64:55am 55 minutes ,i'ics 1rade 64 85 Students 6<&6I
Eonday 6:44&6:85am 85 minutes 2istory 1rade 64 84 Students 6<&6I
0our Schedule:
School Name "a/ of the Aee Time of "a/
+ength of cla!!@
re!#on!i*ilit/
(in min.te!)
S.*Iect
=rade
+evel
N.m*er of St.dent!
in the 9la!!
Age of
St.dent!
132S E-$! "AE
"-A? GUE$$A
E-.?A0 H:44 D H:85 85 E!.U$ES E.1/!S2 1"A?E H 55 S$U?E.$S 68&65
132S E-$! "AE
"-A? GUE$$A
E-.?A0 H:55 D 64:84 85 E!.U$ES E.1/!S2 1"A?E 64 85 S$U?E.$S 6<&67
132S E-$! "AE
"-A? GUE$$A
E-.?A0 64:54 D 66:95 85 E!.U$ES EA$2EEA$!,S 1"A?E H 55 S$U?E.$S 68&65
132S E-$! "AE
"-A? GUE$$A
E-.?A0 6;:44 D 6;:85 85 E!.U$ES EA$2EEA$!,S 1"A?E 64 85 S$U?E.$S 6<&67
132S E-$! "AE
"-A? GUE$$A
E-.?A0 6;:55 D 6:84 85 E!.U$ES E.1/!S2 1"A?E 7 84 S$U?E.$S 6;&69
132S E-$! "AE
"-A? GUE$$A
$UES?A0 H:44 D H:85 85 E!.U$ES E.1/!S2 1"A?E H 55 S$U?E.$S 68&65
132S E-$! "AE
"-A? GUE$$A
$UES?A0 H:55 D 64:84 85 E!.U$ES E.1/!S2 1"A?E 64 85 S$U?E.$S 6<&67
132S E-$! "AE
"-A? GUE$$A
$UES?A0 64:54 D 66:95 85 E!.U$ES EA$2EEA$!,S 1"A?E H 55 S$U?E.$S 68&65
132S E-$! "AE
"-A? GUE$$A
$UES?A0 6;:44 D 6;:85 85 E!.U$ES EA$2EEA$!,S 1"A?E 64 85 S$U?E.$S 6<&67
132S E-$! "AE
"-A? GUE$$A
$UES?A0 6;:55 D 6:84 85 E!.U$ES E.1/!S2 1"A?E 7 84 S$U?E.$S 6;&69
132S E-$! "AE
"-A? GUE$$A
BE?.ES?A0 H:44 D H:85 85 E!.U$ES E.1/!S2 1"A?E H 55 S$U?E.$S 68&65
132S E-$! "AE
"-A? GUE$$A
BE?.ES?A0 H:55 D 64:84 85 E!.U$ES E.1/!S2 1"A?E 64 85 S$U?E.$S 6<&67
132S E-$! "AE
"-A? GUE$$A
BE?.ES?A0 64:54 D 66:95 85 E!.U$ES EA$2EEA$!,S 1"A?E H 55 S$U?E.$S 68&65
132S E-$! "AE
"-A? GUE$$A
BE?.ES?A0 6;:44 D 6;:85 85 E!.U$ES EA$2EEA$!,S 1"A?E 64 85 S$U?E.$S 6<&67
132S E-$! "AE
"-A? GUE$$A
BE?.ES?A0 6;:55 D 6:84 85 E!.U$ES E.1/!S2 1"A?E 7 84 S$U?E.$S 6;&69
132S E-$! "AE
"-A? GUE$$A
$2U"S?A0 H:44 D H:85 85 E!.U$ES E.1/!S2 1"A?E H 55 S$U?E.$S 68&65
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS ___
CITY/COUNTRY:______QUETTA, PAKISTAN____
132S E-$! "AE
"-A? GUE$$A
$2U"S?A0 H:55 D 64:84 85 E!.U$ES E.1/!S2 1"A?E 64 85 S$U?E.$S 6<&67
132S E-$! "AE
"-A? GUE$$A
$2U"S?A0 64:54 D 66:95 85 E!.U$ES EA$2EEA$!,S 1"A?E H 55 S$U?E.$S 68&65
132S E-$! "AE
"-A? GUE$$A
$2U"S?A0 6;:44 D 6;:85 85 E!.U$ES EA$2EEA$!,S 1"A?E 64 85 S$U?E.$S 6<&67
132S E-$! "AE
"-A? GUE$$A
$2U"S?A0 6;:55 D 6:84 85 E!.U$ES E.1/!S2 1"A?E 7 84 S$U?E.$S 6;&69
132S E-$! "AE
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Additional (pace i( a0aila.le on t+e ne6t pa,e i* needed/
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS __________

CITY/COUNTRY:______QUETTA, PAKISTAN_________
(<$ Statement of P.r#o!e, 0our Statement of Purpose is the most important part of your application) 0our response
%ill gi'e the selection committee an opportunity to better understand you as a teacher leader and your desire to
participate in the program) Statements must be clearly %ritten in order to be considered)
!n the space pro'ided( please address .ot+ +uestions in no -o)e t+an 7%% 5o)d(:
o ?escribe an occasion %hen you %ere a leader or set a positi'e e*ample in your school) Bhat
characteristics and abilities do you possess that mae you a teacher leaderL
o Bhat sills and e*perience do you hope to gain from participating in the $EA Paistan Program( and
ho% %ill these benefit you and your school once you ha'e completed the programL ?escribe at least
t%o %ays you %ill share these sills %ith your school andAor community)
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS _________
CITY/COUNTRY:______QUETTA, PAKISTAN_________
Additional S#ace, Please use this space for any additional information)
(>$ 9.rric.l.m Fitae, Please pro'ide your ,C in the space pro'ided)
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS _________
CITY/COUNTRY:______QUETTA, PAKISTAN_________
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS _________
CITY/COUNTRY:______QUETTA, PAKISTAN_________
Biographic Information Sheet
First Name: Middle Name: Last Name:
SHOAIB - YOUNIS
Date of Birth (e.g. Fer!ar" #$% &$#&': O()OB*+ &,% #,-. /e0der: MAL*
1ostal Address: 2A3AS S)A)ION*+S O11OSI)* )O /O4*+NM*N) S1*(IAL HI/H S(HOOL%
/U+DA) SIN/H +OAD 3U*))A% BALU(HIS)AN% 1A5IS)AN
1erma0e0t Address: 6-.76-A% HA8I +*HMA)ULLAH S)+**)% ALAMDA+ +OAD 3U*))A%
BALU(HIS)AN% 1A5IS)AN
1erma0e0t (it": 1ro9i0:e: 1ho0e ;:
3U*))A BALU(HIS)AN <,&--#-&-=.66=
Moil ;: *mail ID: 1a>ista0i Natio0al (Yes7No':
<,&-=#=--?@6-&? Shoai."o!0is.AtaBgmail.:om Y*S
Academic Information
Last *0rollme0t: Start Date: (mm7""""' *0d Date: (mm7""""'
Last Field of St!d": Last I0stit!tio0:
Last Degree (/1A7 Cage:
Work Information
(!rre0t 1ositio0: (!rre0t *mDlo"er:
)otal Years of 2or> *EDerie0:e:
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS _________
CITY/COUNTRY:______QUETTA, PAKISTAN_________
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
Note: *9er" i0formatio0 o0 this sheet is imDorta0t% this sheet Fill 0ot e a::eDted if (/1A of Foreig0 Degree G (/1A of Home
Degree% (Fhether e0rolled or fi0ished' is 0ot me0tio0ed.
Note: All i0formatio0 o0 this sheet is imDorta0t. )his sheet Fill 0ot e a::eDted if a degree (:!rre0tl" e0rolled or :omDleted' is 0ot
me0tio0ed.
APPLICANTS NAME: _____SHOAIB YOUNIS _________
CITY/COUNTRY:______QUETTA, PAKISTAN_________
I7E8 P7IFA95 P%+I95 H APP+I9ATI%N 9E7TI3I9ATI%N STATEEENT
0our pri'acy is important to !"E#) $hat is %hy %e re+uest that all applicants read the follo%ing pri'acy policy statement
carefully)
'$ APP+I9ANT AN" PA7TI9IPANT IN3%7EATI%N 9%NTENT AN" ST%7A=E
!nformation about program applicants( as %ell as that of current and past program participants( consists of data
contained in their applications( information deri'ed from inter'ie%s( and information gathered during the course of their
program and as program alumni) !"E# stores this information in %ritten and electronic form indefinitely) Some data(
such as contact information and professional e*perience( is continually updated)
($ USE %3 IN3%7EATI%N, !nformation( %hich is described abo'e( may be:
A) Used by selection committees and inter'ie%ers to re'ie% applicants=
3) Supplied to the programs funding organi>ation=
,) Submitted to potential host schools( uni'ersities( or organi>ations andAor organi>ations that pro'ide practicum
opportunities= and
?) Used for the e'aluation of an indi'iduals participation in the program and in the collection of data for general
program e'aluation by !"E#( funding agencies or other organi>ations contracted to conduct e'aluations)
!"E# does not sell applicant or currentApast participant information)
$he principles stated herein are binding only to !"E#= other organi>ations in'ol'ed in the implementation of these
programs may adhere to other pri'acy or similar policies)
0$ 9E7TI3I9ATI%N, ! certify that ! completed this application myself( %ithout any aid or assistance( that the information
gi'en in this application is complete and accurate( and that ! ha'e carefully read and understand all notes and
disclaimers pro'ided therein)
! understand that !"E# reser'es the right to 'erify all the information listed in the application) ! understand that gi'ing
false or misleading information in the application %ill result in e*clusion from the competition or immediate dismissal
from the $eaching E*cellence Achie'ement ($EA) Paistan program)
Also( ! acno%ledge that ! am a%are of the follo%ing re+uirements that ! must obser'e if ! am selected for the program:
! must abide by all program rules and regulations and obser'e all the la%s of the United States during my stay
there( including returning to my home country at the conclusion of the program in compliance %ith @&6 'isa
re+uirements)
$he medical insurance pro'ided to me during my tra'els is intended only for emergencies and does not co'er
ordinary( pre&e*isting( and dental conditions)
Ey spouse( children( other relati'es or indi'iduals are not permitted to accompany me to the United States on
the program)
Signature of Applicant (must be hand signed) ?ate
!n order for !"E# to respond to U)S) Federal in+uiries( please chec the bo* (es) belo%( on a 'oluntary basis( if you
ha'e the follo%ing disabilities:
2earing !mpairment Speech !mpairment Cisual !mpairment (/egally 3lind)
-rthopedic !mpairment /earning ?isorder -ther (specify):
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS _________
CITY/COUNTRY:______QUETTA, PAKISTAN_________

(1'2 TEA Program for Pai!tani Secondar/ +evel Engli!h +ang.age Teacher!
INSTITUTI%NA+ SUPP%7T AN" 7E3E7EN9E 3%7E
$his institutional support and reference form must be completed by your super'isor at the school %here you are
employed) $he form must be hand signed)
An En,li(+ t)an(lation (+old .e p)o0ided i* t+e *o)- and )e*e)ence lette) a)e not 5)itten in En,li(+/
!o -e co"pleted -y the spervisor.
'$ Bhich of the follo%ing characteristics does your teacher demonstrateL
$olerance Passion for teaching
"espect ?eference to authority
-utspoenness /eadership
,are for students Fle*ibility
Promotion of ne% ideas Positi'e reputation
($ Bhich of the follo%ing sillsAtools does your teacher use on a regular basis in hisAher classroom (chec all that
apply)L
Cideo 1raphic organi>ers ?ifferentiated instruction (learning disabilities)
Audio 1roup %or "ubrics
,omputers 1ames Eini&assessments (+ui>>es)
/ecture ?ebate Problem sol'ing
"eading out loud Socratic seminars "ecitation M Eemori>ation
Simulation ,lass discussions Silent reading
Peer editing /earning in pairs !ndependent study
Barm&up e*ercises "eflection acti'ities "ole play
0$ Please %rite a recommendation letter (not to e*ceed 544 %ords) e*pressing %hy this teacher should participate in
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
!o -e co"pleted -y the applicant.
.ame of Applicant:
.ame of "eference:
Position of "eference:
.ame of School:
Address of School:
$elephone:
E&mail of "eference:
APPLICANTS NAME: _____SHOAIB YOUNIS _________
CITY/COUNTRY:______QUETTA, PAKISTAN_________
the $EA Paistan program and ho% you thin both the teacher and your school %ould benefit) Bhat teaching sills
and professional characteristics distinguish this teacher from other teachers in your schoolL
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/
APPLICANTS NAME: _____SHOAIB YOUNIS _________
CITY/COUNTRY:______QUETTA, PAKISTAN_________
(school name) is pleased to
participate in the $eaching E*cellence and Achie'ement Program ($EA) for Paistan funded by the U)S) 1o'ernment
and administered in Paistan by USEFP ($he United States Educational Foundation in Paistan)( in the e'ent the
representati'e of this institution is selected for participation in the program)
(school name) %ill pro'ide
assistance to its representati'e throughout the duration of the program by supporting and allo%ing Es)AEr)
to participate in the si*&%ee $EA Paistan program acti'ities in the United States in early ;465) !
understand that program acti'ities %ill include a professional de'elopment program at a U)S) uni'ersity( including a
customi>ed academic program pro'iding de'elopment of lesson planning sills( assessment techni+ues( and teaching
strategies for the home en'ironment( as %ell as instructional technology training in the use of computers for !nternet(
%ord processing and as teaching tools) Participants %ill also engage in a host uni'ersity&organi>ed field e*perience at
a local U)S) secondary school( trips to U)S) cultural sites( and ci'ic and ser'ice acti'ities)
Es)AEr) %ill be granted lea'e (#lea!e chec one)
4ith #a/
4itho.t #a/
during this time and %ill be re&instated upon his or her return to the school)
Be recogni>e the importance of this pro:ect in the pursuit of ad'ancement and de'elopment for our schools teachers(
as %ell as in de'eloping positi'e relations bet%een Paistan and American educators( and loo for%ard to participating
in the program)
.ame of School ?irectorAPrincipal
Signature of School ?irectorAPrincipal (must be hand signed)
?ate
Application Deadline: Jl! "#$ "%&'
Application( a)e *)ee o* c+a),e and -a! .e dplicated/