Language English First Name * Last Name * Email * Skype name Gender Male Female Email Nationality Birth Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20132014201520162017 I speak English* ILR Level 1 – Elementary proficiency ILR Level 2 – Limited working proficiency ILR Level 3 – Professional working proficiency ILR Level 4 – Full professional proficiency ILR Level 5 – Native or bilingual proficiency Other Languages that I know Language Level of fluency Please tell us why you are interested in becoming an online facilitation assistant (eAssistant)? How did you learn about this program? Please describe any experience that you have had with facilitation, training, or academic assisting On a scale of 1-5 (1 being unfamiliar and 5 being very familiar), how would you rate your ease and familiarity with the following (talk to Abdul and Paramita about what platforms/tools to include email Online webinar/video conferencing platforms Translation Typing in your spoken languages Phone number Current address Permanent Address (if different from current address) CV (upload/copy and paste) Cover Letter (copy and paste) Please provide 3 references from people (not friends or family members) who can speak about your qualifications for this position (please include email and/or phone number) What is your Availability and Time Commitment CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. <iframe src=”https://www.google.com/recaptcha/api/noscript?k=6LfXgeoSAAAAAOoMa4DeBHTqfjMiyJFccDS6q6x5″ height=”300″ width=”500″ frameborder=”0″></iframe><br/> <textarea name=”recaptcha_challenge_field” rows=”3″ cols=”40″></textarea> <input type=”hidden” name=”recaptcha_response_field” value=”manual_challenge”/>