CELTA Application Form
Course date 1st Choice:
Course date 2nd Choice(if applicable):
1. Personal Details
Surname:
First name(s):
Date of birth:
Nationality:
Age at the start of the course:
Mother Tongue:
Address:
Phone:
Email address:
2. Education
Please give name of qualification, name of institution, grades attained and year of completion:
Institution
Qualification
Subject
and grades
Date/Year
Secondary/High
School
Further/Higher
Education
3. Languages
Which languages do you speak/read/write? Please comment briefly on your level of proficiency in each:
4. Work experience
General work experience.
Employer
Dates
Responsibilities
5. Teaching experience (if any)
Indicate your experience in teaching English as a Foreign Language, if any. Please give details of schools, dates, and
type of teaching. (e.g. adults, informal, young learners, 0ne to 0ne etc.)
Name of Institution
Dates
Type of Teaching
6. Please give reasons for doing the course, your future plans & why you feel you
are suited to teaching English teaching ideas (max 80 words):
7. Language awareness
a) Briefly explain the differences between the following words or phrases
b) Say how you would clarify these differences to students
1
Slimand thin.
to clarify
2
I’ve lived in Spain for 10 years and I lived in Spain for 10 years.
to clarify
3
Can you lend us a tenner? andCould you lend me ten pounds?
To clarify
8. Classroom awareness
With reference to your own language learning experiences, what do you consider to be the most important factors
which aid learning in a classroom?
9. Special Needs
If there are any medical conditionsor personal
circumstances that would affect your ability to
complete the course, please give details
below:
In line with Cambridge ESOL Teaching Awards’ Equal Opportunities
Policy, Language Testing Services (LTS) will make every effort to
accommodate applicants with special requirements. Applicants
with special requirements should be able to confirm that they have
the necessary strategies and/or the personal and technical support
to enable them to complete the course successfully. Language
Testing Services (LTS) will make reasonable adjustments to the
course programme and course delivery where necessary, and
accepts their responsibilities in relation to legal requirements.
The centre is required to confirm with Cambridge ESOL any special
arrangements before accepting the candidate onto the course.
If you have special requirements you are encouraged to familiarise
themselves with the role of the teacher and the demands of the
classroom in the field of ELT before accepting a place on the course.
This can be through discussions with course tutors and visiting the
centre beforehand. It may be possible to observe parts of a course
taking place.
If you think you will need extra time to complete assignments (e.g.
for dyslexia) please speak to a member of the team.
10. Please tick/complete the relevant boxes:
How did you hear about CELTA at Language Testing Services (LTS)?Please state which website if applicable.
Why did you choose Language Testing Services (LTS)(and not another centre)?
It is close
Suitable dates
Someone recommended it
Price
Other:
11. Reference
Please write the names and contact information of a referee, either professional or academic. We reserve the right to
contact them before acceptance on the course.
Name:
Position:
Tel:
E-mail: