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Teacher Training - CELTA Application Form
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/
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Email
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Your email
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This is to ensure that you are a person and not a machine!
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Personal details: Title
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Mr.
Ms.
Miss
Mrs.
Please select which CELTA course you are interested in applying for:
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All courses have a minimum level of English requirement.
Choose
Fully Online intensive CELTA courses
Fully Online semi-intensive CELTA course
Fully Online CELTA Blended course
What is your preferred course start date?
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Please consult
https://accademiabritannica.com/scuola-di-lingue/celta/
for your preferred course dates.
Choose
Fully Online Intensive CELTA course: 08/02/2021 - 11/03/2021
Fully Online Intensive CELTA course: 31/05/2021 - 02/07/2021
Fully Online Intensive CELTA course: 28/06/2021 - 29/07/2021
Fully Online Semi-intensive CELTA course: 16/03/2021 - 28/05/2021
Fully Online CELTA Blended course: 23/01/2021 - 19/06/2021
What are your official name(s) & surname(s)
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Your answer
What is your date of birth?
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What is your place of birth?
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Your answer
What is your current address?
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What is your (cell) phone number?
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Your answer
What languages do you speak?
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Please state these in order of ability. Please give an indication of your level for each language, e.g. native, proficiency (C2), advanced (C1).
Your answer
What is your nationality?
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Your answer
What is your current occupation?
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Your answer
Are you taking any medication or do you have any medical conditions or learning disabilities?
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Yes
No
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:
Your answer
What level of education do you have?
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Please tell us about your education from 2nd level up. Provide dates, awards/qualifications achieved, specialist areas and names of awarding bodies.
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Do you have any initial training in Teaching English as a Foreign Language?
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Please give qualifications, organizations, dates and grades.
Your answer
Do you have any formal training as a teacher of other subjects?
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Please give qualification, organization, dates and grades.
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What other work experience or professional training do you have?
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Please give details here.
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Is there any other information which you think may be relevant to this application?
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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.
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Please give details here:
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How did you hear about our courses?
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Using the search term 'CELTA' in a search engine
International House World website
From an advertisement on the web
Through the Cambridge ESOL website
Through another website
Other
Tell us why you would like to take the course in 120-150 words here:
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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.
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A copy of your responses will be emailed to the address you provided.
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