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Institutes
(SUSI)
Program for Scholars
Application Form
Title of Institute
U.S. Political Thought
Contemporary American Literature
Journalism and Media
Biographical Data
Full Name (exactly as it appears in passport)
Prefix (Dr., Mr., Ms., Miss First Name
)
Mr.
Gender
Middle Name
Jamal
Anwar
Date of Birth (Month, Day, Year)
Male
Female
12
20
Country (-ies) of Citizenship
(Primary and, if applicable, secondary country)
1980
Last Name
Taha
City, Country of Birth
Erbil , Iraq
Country of Residence
Iraq /
Iraq
Medical, Physical, Dietary or other Personal Considerations
Please describe any pre-existing medical conditions, including any prescription medication you may be taking,
allergies, or any other dietary or personal considerations. This will not affect the selection, but will enable the
host institution to make any necessary accommodations.
Blind and Visual Impairments
Learning Disabilities
Physical Disabilities
Systemic
New Disability
Psychiatric
Disabilities
None
Description
Disabilities
Impairments
Additional comments, if necessary:
Address
Home Address, City, Home State/Province, Home Country
212 Ali Kamal Quarter/Sulaimani/Iraq
E-mail
Telephone
jamalenglish13@gmail.com
07501770749
jamal.taha@univsul.net
Emergency contact
Name and relationship (Example: John Doe, husband)
07701596010
Nasik , Wife
Emergency contact phone
07807015295
nasik_abdul@yahoo.com
Previous Experience in the United States
Please list all trips you have made to the United States and include approximate dates and the reason for travel.
none
Family Residing in the United States
Please list any immediate family members who currently are residing in the United States, including city and
state.
Page 1 of 5
No
Professional Data
Current Position Title
Lecturer
Institution Name
Sulaimani University
Dates Held
2011
Country
Iraq
Position Type
For Position Type, please, select one from among the following:
Senior University Official (President, Provost), Government Minister,
Senior Executive, etc.
University Dean, Government Advisor, Vice President, Junior Executive,
etc.
Senior Professor, Department Chair, Director, Editor, Officer, etc.
Associate Professor, Senior Researcher/Think-Tank Fellow, Senior Staff,
etc.
Assistant Professor, Assistant Editor, Coordinator, mid-level Staff
Researcher/Think-Tank Fellow, etc.
Lecturer, Teacher, Consultant
Teaching Assistant, Instructor
Other
Professional Responsibilities
Please discuss your professional responsibilities in greater detail, including research interests, administrative
responsibilities (ex. curriculum design), and/or other pertinent information.
My professional responsibiity is teaching English linguistics to first year, second year students in
the faculty of Basic Education/Sulaimani university. I am interested in developing education and
teaching English language and how to make my students succeed in international tests like TOEFL
and IELTS.
Level of students
Ph.D./M.A./
Undergraduate/High
School
undergraduate
Undergraduate9
Undergraduate
Number of
hours
per semester
Number
of
students
96
90
75
120
70
33
Estimated
percent of
U.S. studies
content
%53
%57
%70
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MA candidates
1 hour
Redesign
New Publication
New Professional Organization
Redesign
Professional Promotion
New Institutional Linkages
Institution Name
Koya University
Ministry of Education/Erbil
Dates of Membership
2001
Academic Data
Degree Completed and Major
BA in English Language &
University Attended
Koya University
Dates Attended
2008
Literature
MA in English Linguistics
Koya University
2011
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December
International Service
2007-2008
Conversational Course
2005
Publication
Year
Publisher
Page 5 of 5