Application of Intent

2005-2006 Visiting Teacher from Spain Program

Iowa Department of Education

&

Ministry of Education and Culture of Spain

This Application of Intent does not obligate the local school system to hire teachers from Spain at this time. It only expresses a local school district's interest in participating in the program.

Please complete a separate form for each possible teaching position available.

School District Name					_______________________________________________________
Superintendent					_______________________________________________________
Address					_______________________________________________________
					_______________________________________________________
					_______________________________________________________
					_______________________________________________________
Phone Number	_________________________
Fax Number	_________________________
e-mail address	_________________________________________________
Possible School Placement						___________________________________________________
Principal’s Name			_______________________________________________________
Possible Teaching Assignment							_________________________________________
School Address		_______________________________________________________
		_______________________________________________________
		_______________________________________________________
		_______________________________________________________
Phone Number	___________________________
Fax Number	___________________________
e-mail	_________________________________________________________
Preferred ICN Site				_______________________________________________________

Please return this form by e-mail, mail or Fax to: Mary Smith

Iowa Department of Education, Grimes State Office Building, Des Moines, Iowa 50319

e-mail: mary.smith@iowa.gov Fax: 515-242-6025 Telephone: 515-242-6014