CELTA initial Application Form 2016
Please complete this form carefully - it is used as the first stage of assessment for selection
Contact Details:
First Name:
Date of Birth:
Family Name:
Male
Nationality:
Country of Residence:
Female
First Language:
Contact Address:
Phone contact number(s):
Email:
Present Occupation:
Education and Experience:
1. Degree and post-graduate qualifications:
Subject(s);
Date:
University/College + Location:
Subject(s);
Date:
University/College + Location:
Subject(s);
Date:
University/College + Location:
2. High school diplomas or equivalent (please give full details of the type of qualification):
Subjects + grades
English qualifications / scores / level (e.g. IELTS, Cambridge Proficiency, Cambridge Advanced)
If English is not your first language, give an assessment of your English communication skills: Speaking, Listening, Reading & Writing
Other Languages Spoken; please state level, e.g. fluent, survival level + any exams taken.
Do you have any recent experience of learning another language?
Do you have any teaching experience (it doesn’t have to be English)? Please give details (type of teaching, location, dates)
What are your interests outside work?
Have you ever lived or worked in another country? Please give details
Personal Statement:
Please write, in 250-300 words, your supporting statement.
What is your current occupation, what is your educational background and training, what previous jobs have you had, why do you
want to do this course at this time, what experience and qualities do you think you will bring to the course?
This supporting statement will be used in the selection process to decide if you can proceed to the next stage of the application.
 What
are the dates of the course you would like to join ?
 April 26th to July 07th 2016 (10 week semi-intensive course)
 July 04th to July 29th 2016 (4 week super-intensive course)
 September 20th to December 01st 2016 (10 week semi-intensive course)
 January 10th to March 23rd 2017 (10 week semi-intensive course)

Support for Success: Do you have any Access Requirements for Interview? Yes
No
If Yes, please indicate if you wish the Learner Support Team to make access arrangements for you if you are asked to interview. This
information is only passed to staff who organise interview support.
Communicator Support
Hearing Loop
Wheelchair Accessibility
Advocacy Support for Mental Health Issues or Other Disability
Orientation for Sight Difficulties
Other (please state requirements)
We make every effort to ensure that all information is accurate and current when published.
Courses and services are subject to regular review; details may change at any time. All courses run subject to demand.
Signature:
Date:
Please return your completed form to:
CELTA Admissions, International Office,
South Thames College London,
Wandsworth Campus,
Wandsworth High Street,
London, SW18 2PP
E-mail: international.office@south-thames.ac.uk
+ 44 (0)20 8918 7096
This form is stage 1 of the CELTA application process.
We will inform you within 5 working days if we can take your application to the next stage.
If we can, we will ask you to complete a “Language Awareness Task” and confirm arrangements for a telephone / Skype interview (or
a face-to-face interview if you are in the UK).
We will also ask you to complete a general STCL international student application form.