CELTA Application Form
Please fill in this form fully and carefully.
1.
Date of Application: __________
Personal Details
Family Name: ___________________________
First Name(s): ___________________________
Nationality:
Mother tongue/1st language: _______________
___________________________
Address: _____________________________________________________________________________
_____________________________________________________________________________________
Home Phone No: __________________ Work No: ______________
E-mail(s): _______________________________
Mobile No: _________________
Date of birth: ___________________
Present Occupation: __________________
2.
Education
Secondary Education
High / Secondary School attended:
Dates
Qualification(s)
Subjects
Grade(s)
Tertiary Education (Graduate and Post-graduate)
Date(s)
Institution(s)
Degree(s) /
Diploma(s) etc
Subject(s)
Institution(s)
Qualification
Subject(s)
Professional Qualifications
Date(s)
The United Kingdom’s international organisation for educational opportunities and cultural relations. We are registered in England as a charity.
3.
Teacher Training and Teaching Experience
a.
Do you have any formal training as a teacher or trainer? If yes, give details below:
b.
Do you have any experience of teaching or training?
If yes, please give dates, schools, details of levels and ages.
Dates
Institution
Details
4.
Other Work Experience
5.
Is there any other information which you think relevant to this application?
6.
Languages
Languages other than mother tongue. Please comment on your level of proficiency in both spoken and written
language:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Page 2 of 3
7.
Reasons for wanting to do the course
Write at least 150 words on why you wish to attend the Cambridge CELTA course at British Council Nepal, and
what you intend to do upon completion of the course.
Conditions of Application
Acceptance onto the Cambridge CELTA course at British Council Nepal is not guaranteed.
Applicants must satisfactorily complete a Language Awareness and Teaching Ideas Task, a Free
Writing Task and pass a Screening Interview to be accepted. Candidates must be able to
demonstrate that their level of English, both spoken and written, is suitable for the demands of the
course. The decision of the centre is final.
The course is very intensive and challenging – equivalent to doing a whole undergraduate semester in
one month. You should be aware that the demands of the course may exacerbate any condition that is
likely to be aggravated by stress.
By submitting this application you accept that in addition to the 120 contact hours during the course, you
will have to work least a further 80 hours in your own time over the four weeks in order to produce work of
a ‘pass’ standard.
100% attendance is expected. Owing to the practical, experiential nature of the course there is little
chance of making-up days missed. Any exceptions to this are made by the Main Course Tutor on a caseby-case basis.
No refunds will be given should you withdraw from the course for any reason.
I have read and understood the conditions of application, and agree to abide by them.
Signed:
Date:
Please send the completed application form and application task to:
CELTA Tutor
British Council
Lainchaur
PO Box 640
Kathmandu, Nepal
Tel: +977 1 4410798 extn 3129
E-mail: celta@britishcouncil.org.np
Page 3 of 3