|A Fulbright ETA Request Form
Please submit the completed request form to our English language program specialist Zulfiya Shirinova at ShirinovaZK@state.gov by February 28, 2015.
“Fulbright ETA 2015-16” and your institution.
Name of institution/department making the request:
Name of main program contact at the institution:
Mobile phone number:
Briefly explain why having an ETA is important for your institution?
Which department will an ETA will assigned to?
What will an ETA be expected to do in addition to teaching responsibilities? (conversation/book/drama clubs, assist w/project work, etc.)
How many participants do you expect?
What equipment will be available for an ETA? Please check.
Power point capabilities
Copier for handouts
What materials will you provide to assist an ETA in preparing for the sessions? (e.g. program curriculum, course objectives, teaching materials, etc.)
Please add other essential details.