International House Bristol

Formerly known as The Language Project

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TEFL/TESOL Teacher Training

Teacher Training Application

Only complete the sections marked with an asterisk * if you are applying for a place on one of our Trinity Certificate in TESOL courses.

Please choose dates:
31 October - 2 December 2011
9 January - 10 February 2012
20 February - 23 March 2012
2 April - 4 May 2012
14 May - 15 June 2012
17 September - 19 October 2012
29 October - 30 November 2012

1. Personal Details

Surname:

First name:

Title:

Gender: Male Female

Date of birth:

Nationality:

Home phone:

Mobile phone:

Email address:

Address:

Present occupation:

First choice course dates:

Second choice course dates:

How did you hear about the course?

Do you need any help with accommodation during the course?

*Have you ever been diagnosed with dyslexia or any other learning difficulty? Yes No

*Do you have any special needs? Yes No

*Have you ever been convicted in any country of a criminal offence? Yes No

*Do you suffer from any mental or physical health condition that might affect you or others on the course? Yes No

*If you answered YES to any of the previous questions, please provide relevant details below:

*2. Education

Please give details of secondary, higher and further education and professional training, including dates, subjects studied and qualifications gained:

Secondary education:

Higher / Further education:

Professional training:

* Please give details of secondary, higher and further education and professional training, including dates, subjects studied and qualifications gained:

*3. Languages

Apart from your native language, do you know any other languages, and to what level approximately? e.g. elementary, intermediate, advanced.

Language	Speaking / Listening	Writing	Reading

4. Teaching Experience

Do you have any experience of teaching or training? If yes, please give full details.

English as a foreign language?

Any other subject?

Skills, i.e. training others in a professional capacity?

Do you have any training as a teacher?

*5. Work experience

Please give brief details of your three most recent jobs.

Job title	Employer	Start/finish dates	Brief description of duties and/or responsibilities

6. Extra information

Please state your reasons for wanting to do the course.

*7. Insurance

For peace of mind we recommend that you take out insurance which covers reimbursement of fees. International House Bristol has negotiated an extremely competitive rate for such an insurance with the insurance company Guard.me. Click for the Policy Summary.

I would like to take out insurance at a cost of £20. Yes No

Application Complete

Thank you , we will contact you shortly.