DIVISION OF PSYCHOLOGY AND LANGUAGE SCIENCES
Continuing Professional Development (CPD) Courses
Please complete this form and return it with full payment to the address at the bottom of the page.
APPLICATION FORM – CPD COURSES 2014–15
Course reference 577/15
Course Date 20th to 23rd April 2015 Cost £360
Course title: PRONUNCIATION TEACHING FOR EFL
Name of applicant (BLOCK CAPITALS): ...............................................................................................................................
Professional title/position: ...................................................................................................................................................
Contact address: ....................................................................................................................................................................
..................................................................................................................................................................................................
..................................................................................................................................................................................................
Email address: .......................................................................................................................................................................
Home telephone no.: ......................................................... Work telephone no.: ..............................................................
Are you a native / non-native English speaker? Please specify your native language: ………………………………
Please provide your level of phonetic knowledge (None / Basic / Intermediate / Advanced) Please describe briefly.
…………………………………………………………………………………………………………………………………………
Native language(s) of your current students: ………………………………
What are your reasons for attending the course? ……………………………………………………………………………
Where did you hear about this course? .............................................................................................................................
Payment
To secure your place, full payment of the course fee must be returned with your completed application form.
I will pay the full amount of the course fee with Mastercard/Visa/Delta/Switch/Maestro
Name of cardholder: …………………………………………………… Card no.: …………………………………………..
Start date: ………………… Expiry date: ………………… Security code:…………… Signature: ..................................
To pay by card, please send the application with your card details above by post to CPD@PaLS or by fax.
DO NOT SEND ANY CARD DETAILS BY E-MAIL - IF SO, IT WILL BE DELETED AND NOT PROCESSED
Bookings are subject to the Terms and Conditions overleaf
------------------------------------------------------------------------FOR OFFICE USE ONLY -------------------------------------------------------------------------------Received £.....................  Acc SREN No ...................................... S/P  R/L  Inv. no. ...................£............Date .................................
 Con. date ..................................  Credit Card
 W/L  Cancelled  Cheque returned:
Please send completed application forms to:
CPD Courses,
UCL Division of Psychology and Language Sciences
Chandler House · 2 Wakefield Street · London WC1N 1PF
Tel: 020 7679 4204/4020
Fax: 020 7679 4010
Email: pals-cpd@ucl.ac.uk (For Enquiries only)
DIVISION OF PSYCHOLOGY AND LANGUAGE SCIENCES
Continuing Professional Development (CPD) Courses
TERMS AND CONDITIONS
Please let us know of any special requirements you have at the time of booking.
Booking a place on a course
Applications: All course bookings must be made using our CPD application form, which can be posted,
faxed or emailed to us. We cannot take bookings over the phone.
Confirmation of a place: In order to secure your place, full payment of the course fee must be
returned with your completed application form.
Payment: Payment can be made by credit card. We are unable to accept BACS payments.
On the day of the course
Location: All courses are held at Chandler House, 2 Wakefield Street, London WC1N 1PF.
Refreshments: We are unable to provide lunch: your course fee covers tea/coffee only.
Cancellation and refunds
Cancellation: We reserve the right to cancel or re-schedule a course. In the unlikely event of
cancellation we will refund the full amount of your course fee, but we are unable to refund any travel or
accommodation expenses. You are advised to obtain adequate personal travel insurance to cover you
for any illness or accident which might prevent you from attending the course.
Refunds: We can refund 80% of the course fee up to one month before the course starts. An
administration charge of £20 will also be deducted. Places cancelled less than one month before the
course commences cannot be refunded. Please confirm with us that the course is going ahead
before making any non-refundable travel and/or accommodation bookings. Please allow 30
working days for refunds to be processed.
CPD Courses,
UCL Division of Psychology and Language Sciences,
Chandler House · 2 Wakefield Street · London WC1N 1PF
Tel: 020 7679 4204/4020
Fax: 020 7679 4010
Email: pals-cpd@ucl.ac.uk