Teacher Training - CELTA Application Form

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International House - Accademia Britannica Campobasso

International House Teacher Training
Via Zurlo 5, 86100 Campobasso – Italy

Tel.: +39 0874 481321
E-mail: segreteria@accademiabritannica.com

Please consult all information relevant to your course of choice on this page before applying:
https://accademiabritannica.com/scuola-di-lingue/celta/

Email *

Please insert today's date here: *

This is to ensure that you are a person and not a machine!

YYYY

Personal details: Title *

Please select which CELTA course you are interested in applying for: *

All courses have a minimum level of English requirement.

What is your preferred course start date? *

Please consult https://accademiabritannica.com/scuola-di-lingue/celta/ for your preferred course dates.

What are your official name(s) & surname(s) *

What is your date of birth? *

YYYY

What is your place of birth? *

What is your current address? *

What is your (cell) phone number? *

What languages do you speak? *

Please state these in order of ability. Please give an indication of your level for each language, e.g. native, proficiency (C2), advanced (C1).

What is your nationality? *

What is your current occupation? *

Are you taking any medication or do you have any medical conditions or learning disabilities? *

Yes

If you answered 'Yes' to the previous question please expand here:

Please answer this question truthfully so that we can react appropriately in cases of emergency. If there is anything that would condition your progress on the course you should state it here also:

What level of education do you have? *

Please tell us about your education from 2nd level up. Provide dates, awards/qualifications achieved, specialist areas and names of awarding bodies.

Do you have any initial training in Teaching English as a Foreign Language? *

Please give qualifications, organizations, dates and grades.

Do you have any formal training as a teacher of other subjects? *

Please give qualification, organization, dates and grades.

What other work experience or professional training do you have? *

Please give details here.

Is there any other information which you think may be relevant to this application? *

Please give the names, addresses, and telephone numbers of two referees who would be prepared to give relevant support to this application. Indicate in what context they know you. *

Please give details here:

How did you hear about our courses? *

Tell us why you would like to take the course in 120-150 words here: *

It is fundamental to write between 120-150 words here without consulting grammars or dictionaries as this enables us to establish your level. Texts which are shorter than the word limit result in automatic refusal.

Please insert your email here again: *

A copy of your responses will be emailed to the address you provided.

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