Personal Details:
Dates of CELTA course applied for:
1st choice: ....................................................................
2nd choice: ...................................................................
Photo
Box
Surname: (Mr, Mrs, Miss, Ms) .................................................................................
First Name: ........................................... Date of Birth: ........................................
Nationality: ............................................ First Language:......................................
Present Address: ...................................................................................................
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Mobile No: ............................................. Daytime Phone No: ...............................
Email address: ......................... ……………
Present Occupation: ..............................................................................................
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Education:
(Secondary and tertiary - please write dates where relevant)
Qualification
Institution
Dates
Which languages have you learned to speak/read/write? How proficient are you?
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CELTA Application Form
CELTA - Certificate in English Language Teaching to Adults
Experience: Previous work experience
Position
Dates
Do you have any training as a teacher in any subject? (please list any training)
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Do you have any experience teaching English to speakers of other languages? If yes,
please summarise your experience. (this is a pre-service course so none is necessary)
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Reasons for wanting to do this course / plans for the future:
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Please give the names, relationship, addresses, telephone numbers and email
addresses of two people who can supply a reference for you. Ideally they will be
people from your professional and academic life, and will be recent.
1 ....................................................
2 ......................................................
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How did you hear about this course?.......................................................................
Do you require help with accommodation?
Yes / No
Have you ever applied for another CELTA course? If yes, why did you not do the
course or complete the training?
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I understand that this course is very demanding and stressful and is therefore
unsuitable for anyone suffering from stress-related medical or psychological problems.
I also understand that non-NZ citizens need to make sure they fulfil immigration
requirements to be able to undertake this course.
Signature: ............................................
Date:............................................
CCEL has a policy of equal opportunities and this extends to its teacher training course and its selection
of candidates. Candidates are selected on the basis of CCEL's assessment of their ability to manage the
course successfully. Acceptance is therefore at the discretion of CCEL and the interviewer's judgement is
final. Submitting an application for this course confirms acceptance of this policy.
CELTA Application Form
Employer