   document.write("<!-- Web Form Generator 2.0 --><center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\"><input type=\"hidden\" name=\"meta_web_form_id\" value=\"1141873032\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"jasonapplicatio\"><input type=\"hidden\" name=\"redirect\" value=\"http://www.koreateachingjobs.com/thankyoupage.aspx\" id=\"redirect_d3847f1a46f6a2a482ab74a6f333426c\"><input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\"><input type=\"hidden\" name=\"meta_adtracking\" value=\"Jason Lynch app v1.1\"><input type=\"hidden\" name=\"meta_message\" value=\"1\"><input type=\"hidden\" name=\"meta_required\" value=\"from,custom Alternate Phone Number,custom Best time to call you,custom University,custom DegreeMajor,custom Year,custom Nationality,custom Passport Status,custom Degree Availability,custom Transcript Availability,custom Year of Birth,custom When can you leave,custom Where would you like to live,custom How did you hear about ASK Now,custom Please Specify,custom Have you listened to the audio,custom Have you read the 9 Things You Need,custom Have you watched the 5 minute show,custom How Serious are you about this\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\"><table><tr><td colspan=2><center><div><font color=\"#003366\"><font size=\"5\"><strong>Access South Korea Now Inc.</strong></font></font></div><div><font size=\"4\" color=\"#003366\">Application form for first-time teachers in South Korea</font></div><div><font color=\"#003366\">&nbsp;</font></div><div><font color=\"#003366\"><strong>Please fill in all fields in the following form. <br>      An ASK Now representative will contact you soon. </strong></font></div><div><font color=\"#003366\"><strong>&nbsp;</strong></font></div><div><font color=\"#003366\"><strong>Please note that if you are not from one of the countries listed, <br>      you cannot qualify for a teaching visa. <br><br>      While we appreciate your application,</strong></font></div><div><strong><font color=\"#003366\">only those chosen for an interview will be contacted.</font></strong></div></center></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Phone Number:</td><td><input type=\"text\" name=\"custom Phone Number\" value=\"\" size=\"20\"></td></tr><tr><td>Alternate Phone Number (or Skype ID):</td><td><input type=\"text\" name=\"custom Alternate Phone Number\" value=\"\" size=\"20\"></td></tr><tr><td>Best time to call you:</td><td><select name=\"custom Best time to call you\"><option value=\"Morning\">Morning</option><option value=\"Afternoon\">Afternoon</option><option value=\"Evening\">Evening</option><option value=\"Night\">Night</option></select></td></tr><tr><td>University or College you attended::</td><td><input type=\"text\" name=\"custom University\" value=\"\" size=\"20\"></td></tr><tr><td>Degree and Major:</td><td><input type=\"text\" name=\"custom DegreeMajor\" value=\"\" size=\"20\"></td></tr><tr><td>Year of Graduation:</td><td><input type=\"text\" name=\"custom Year\" value=\"\" size=\"20\"></td></tr><tr><td>Nationality:</td><td><select name=\"custom Nationality\"><option value=\"Canada\">Canada</option><option value=\"U.S.A.\">U.S.A.</option><option value=\"U.K.\">U.K.</option><option value=\"Ireland\">Ireland</option><option value=\"Australia\">Australia</option><option value=\"New Zealand\">New Zealand</option><option value=\"South Africa\">South Africa</option><option value=\"Sorry must be one of above!\">Sorry must be one of above!</option></select></td></tr><tr><td>Passport Status: (if not current, please specify what date you plan to apply for one):</td><td><input type=\"text\" name=\"custom Passport Status\" value=\"\" size=\"20\"></td></tr><tr><td>Degree Availability:</td><td><select name=\"custom Degree Availability\"><option value=\"I have the original in my possession\">I have the original in my possession</option><option value=\"I have not graduated yet (specify in comments section what date you expect to receive it)\">I have not graduated yet (specify in comments section what date you expect to receive it)</option><option value=\"I have to order a new one from my school\">I have to order a new one from my school</option><option value=\"I have it stored somewhere else (parent's house etc...)\">I have it stored somewhere else (parent's house etc...)</option></select></td></tr><tr><td>Transcript Availability:</td><td><select name=\"custom Transcript Availability\"><option value=\"I have 2 sets of transcripts in a sealed envelope from my school\">I have 2 sets of transcripts in a sealed envelope from my school</option><option value=\"I have not graduated yet (Please specify grad date below in comment section)\">I have not graduated yet (Please specify grad date below in comment section)</option><option value=\"I will have to order 2 sets and I live near my school\">I will have to order 2 sets and I live near my school</option><option value=\"I will have to order 2 sets and I must order by mail\">I will have to order 2 sets and I must order by mail</option><option value=\"I owe the school money so they won't give me transcripts\">I owe the school money so they won't give me transcripts</option></select></td></tr><tr><td>Current Age:</td><td><select name=\"custom Year of Birth\"><option value=\" \"> </option><option value=\"18\">18</option><option value=\"19\">19</option><option value=\"20\">20</option><option value=\"21\">21</option><option value=\"22\">22</option><option value=\"23\">23</option><option value=\"24\">24</option><option value=\"25\">25</option><option value=\"26\">26</option><option value=\"27\">27</option><option value=\"28\">28</option><option value=\"29\">29</option><option value=\"30\">30</option><option value=\"31\">31</option><option 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value=\"63\">63</option><option value=\"64\">64</option><option value=\"65\">65</option></select></td></tr><tr><td>Co- Applicant (if applicable):</td><td><input type=\"text\" name=\"custom CoApplicant\" value=\"\" size=\"20\"></td></tr><tr><td>When can you leave?:</td><td><select name=\"custom When can you leave\"><option value=\"January\">January</option><option value=\"February\">February</option><option value=\"March\">March</option><option value=\"April\">April</option><option value=\"May\">May</option><option value=\"June\">June</option><option value=\"July\">July</option><option value=\"August\">August</option><option value=\"September\">September</option><option value=\"October\">October</option><option value=\"November\">November</option><option value=\"December\">December</option></select></td></tr><tr><td>Where would you like to live?:</td><td><select name=\"custom Where would you like to live\"><option value=\"Small town\">Small town</option><option value=\"Big City\">Big City</option><option value=\"Anywhere\">Anywhere</option></select></td></tr><tr><td>How did you hear about ASK Now?:</td><td><select name=\"custom How did you hear about ASK Now\"><option value=\"Search Engine\">Search Engine</option><option value=\"Google Ad\">Google Ad</option><option value=\"Friend\">Friend</option><option value=\"Workopolis\">Workopolis</option><option value=\"Craigslist\">Craigslist</option><option value=\"Dave's ESL Cafe\">Dave's ESL Cafe</option><option value=\"Job Fair\">Job Fair</option><option value=\"Newspaper\">Newspaper</option><option value=\"Article\">Article</option><option value=\"youloveit.com\">youloveit.com</option><option value=\"Other (please specify)\">Other (please specify)</option></select></td></tr><tr><td>Please Specify (ex. city, search engine used, specific site etc.):</td><td><input type=\"text\" name=\"custom Please Specify\" value=\"\" size=\"20\"></td></tr><tr><td>Have you listened to the audio?:</td><td><select name=\"custom Have you listened to the audio\"><option value=\"Some of it\">Some of it</option><option value=\"All of it\">All of it</option><option value=\"Not yet\">Not yet</option></select></td></tr><tr><td>Have you read the 9 Things You Need to Know?:</td><td><select name=\"custom Have you read the 9 Things You Need\"><option value=\"Some of it\">Some of it</option><option value=\"All of it\">All of it</option><option value=\"Not yet\">Not yet</option></select></td></tr><tr><td>Have you watched the 5 minute presentation?:</td><td><select name=\"custom Have you watched the 5 minute show\"><option value=\"Some of it\">Some of it</option><option value=\"All of it\">All of it</option><option value=\"Not yet\">Not yet</option></select></td></tr><tr><td>On a scale of 1-10, how serious are you about this opportunity?:</td><td><select name=\"custom How Serious are you about this\"><option value=\"10\">10</option><option value=\"9\">9</option><option value=\"8\">8</option><option value=\"7\">7</option><option value=\"6 or lower please wait to apply\">6 or lower please wait to apply</option></select></td></tr><tr><td valign=\"top\">Additional Comments:</td><td><textarea name=\"custom Additional Comments\" rows=\"10\" cols=\"40\"></textarea></td></tr>    <tr><td colspan=2><center></center></td></tr><tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Apply Now\"></td></tr></table></form></center>");

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