Application Form: Cambridge CELTA Course
Application Form: Cambridge CELTA Course
Application Form: Cambridge CELTA Course
PHOTO
PLEASE INSERT
PHOTO HERE OR
BRING/POST TO
CENTRE
1. PERSONAL INFORMATION
Please do not type in the shaded boxes and supply us with a landline or Skype ID if you wish us to call you back.
Family Name(s)
First Name(s)
Sex
Mrs
Miss
Ms
Dr
Mother
Tongue
Nationality
Date of Birth
Mr
Day
Month
Street
Year
Occupation
No
Postcode
Town
Country
Mobile phone
Skype ID
Passport no*
Employer
details*
* Please make sure you complete these two boxes if you are going to need a visa for your 4
week stay in Athens. Complete with the name of the company/institution where you work
and the address. Your home address must be a street address, NOT a P.O. Box, otherwise
your visa application may be rejected.
3. EDUCATION
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SUBJECT
QUALIFICATION
DATE
GRADE
INSTITUTION
4. WORK EXPERIENCE
ORGANISATION
POST
DUTIES
DATES
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5. ACCOMMODATION
Please do not complete this section unless you would like CELT Athens to help you find accommodation during the course.
Hotel single room
15 25 p/n
300 p/m
ACCOMMODATION OPTIONS
Tick or check
below
NOTES:
1.
2.
3.
Please check the following link for more information: http://www.celt.edu.gr/accommodation_visas.htm There are some very
reasonably priced hotels listed on that page.
4.
Non-EU citizens who require an entry visa will me asked to pay an extra administration fee of 50. Please check the link above
5.
Non-EU citizens who require an entry visa will have to deposit their FULL tuition and FULL cost of their accommodation prior to
being given a letter of acceptance and be sent an accommodation voucher.
6. MEDICAL
Please state if you suffer from any medical condition which we should know of prior to your arrival. Candidates must inform the centre in
writing before the beginning of the course for which they have enrolled of any pre-existing medical problems (including stress-related
conditions) which may have an adverse effect on their performance during the course.
The same applies to any other disabilities which may cause the candidate to need special consideration, such as dyslexia, kinetic abilities or
other issue.
In every case, to accommodate candidates with special needs, Cambridge ESOL will have to be notified at least three months prior to the
course start and any medical certification required for such a process will have to be made available to the centre immediately, upon
application. Full medical reports must be submitted in that case but it is not always certain that they will be accepted by Cambridge ESOL.
Please write NO in the box and sign if you have no medical issues to report, or describe the problem and whether it might create
problems for you regarding your attendance, submission of assignments to deadline or inability to deal with the work load.
7. EMPLOYMENT OPPORTUNITIES
If interested jobs when and where they reach us, please sign your name to indicate that you agree to CELT making information
about you available to prospective employers.
Signature ________________________
Please Note: If you sign to join the CELT Athens Teacher Recruitment scheme, you should bring or post to the centre TWO letters
of recommendation written by previous employers or professors/teachers.
I have read and agree with the above terms. In addition, I understand that certificates for the Cambridge
CELTA course are
awarded by Cambridge ESOL and that CELT Athens appeals procedures do not apply to this award.
Signed ________________________________
Date __________________
Name _________________________________
N.B. This page must be printed out and returned signed to CELT Athens or
scan/take a snapshot &email