ESL Teacher Application
Thank you for your interest in teaching English in a college setting in Henan, China! To apply, please
complete this form in its entirety. We also require a cover letter, resume, two letters of recommendation (one
from your most recent pastor/ spiritual advisor, and one from a teacher or colleague knowledgeable about
your language teaching skills or potential), and four references with contact information. Instructions for
submitting all necessary documents are below.
Applicant information
Full name
Date of birth / / Gender
Male
Female
Social Security # (for travel documents and insurance) - -
Email: Phone ( ) -
Current mailing address
Home mailing address (if different)
Current school or employer
Home church
In case of emergencies:
Emergency contact
Relationship to applicant
Emergency contact address
Emergency contact phone ( ) -
Emergency contact email 
Self-Disclosure
Because of the sensitive nature of our ministry, we require you to answer the following questions:
1. Have you ever been convicted of a felony? ☐ Yes ☐ No
2. Have you ever been accused of inappropriate/criminal sexual behavior? ☐ Yes ☐ No
3. Have you ever been convicted of criminal sexual conduct? ☐ Yes ☐ No
4. Have you ever been or are you currently addicted to alcohol or illegal drugs? ☐ Yes ☐ No
I give consent for CSV personnel to run a criminal background check: (Initial)
Please provide explanations for any “yes” answers on separate pages.
Qualifications and essay questions
1. Why would you like to teach English to college students in China?
2. In as much detail as possible, please describe any relevant education and experience you have had,
which might qualify and equip you for this position as an ESL teacher in China.
3. In one to two pages describe your Christian faith, life and involvement in your local church, and
other volunteer activities.
4. The Body of Christ combines many unique individuals who serve according to their own God-given
strengths. Within the overseas CSV community of ESL teachers and local Chinese staff what
contributions might you see yourself making to the team?
Signature of applicant Date / /
Please submit the completed application, answers to the above questions,
and the requested documents from the opening paragraph to:
Rev. John Peterson
China Service Ventures
1407 Cleveland Ave N
St Paul, MN 55108
Please instruct those writing letters of recommendation to send them to the address above.
 davido.extraxim@gmail.com