Please fill in this form fully and carefully.Date of Application: ______

  1. Personal Details

Family Name:______First Name(s):______

Nationality: ______Mother tongue/1stlanguage:______

Address:______

______

HomePhoneNo: ______WorkNo: ______MobileNo: ______

E-mail(s): ______Date of birth: ______

Present Occupation: ______

  1. Education

Secondary Education

High / Secondary School attended:
Dates / Qualification(s) / Subjects / Grade(s)

Tertiary Education (Graduate and Post-graduate)

Date(s) / Institution(s) / Degree(s) / Diploma(s) etc / Subject(s)

Professional Qualifications

Date(s) / Institution(s) / Qualification / Subject(s)
  1. Teacher Training and Teaching Experience
  1. Do you have any formal training as a teacher or trainer? If yes, give details below:
  1. Do you have any experience of teaching or training?

If yes, please give dates, schools, details of levels and ages.

Dates / Institution / Details
  1. Other Work Experience
  1. Is there any other information which you think relevant to this application?
  1. Languages

Languages other than mother tongue. Please comment on your level of proficiency in both spoken and written language:

______

______

______

  1. Reasons for wanting to do the course

Write at least 150 words on why you wish to attend the Cambridge CELTA course at British Council Nepal, and what you intend to do upon completion of the course.

Conditions of Application
Acceptance onto the Cambridge CELTA course at British Council Nepal is not guaranteed. Applicants must satisfactorily complete a Language Awareness and Teaching Ideas Task, a Free Writing Task and pass a Screening Interview to be accepted. Candidates must be able to demonstrate that their level of English, both spoken and written, is suitable for the demands of the course. The decision of the centre is final.
The course is very intensive and challenging – equivalent to doing a whole undergraduate semester in one month. You should be aware that the demands of the course may exacerbate any condition that is likely to be aggravated by stress.
By submitting this application you accept that in addition to the 120 contact hours during the course, you will have to work least a further 80 hours in your own time over the four weeks in order to produce work of a ‘pass’ standard.
100% attendance is expected. Owing to the practical, experiential nature of the course there is little chance of making-up days missed. Any exceptions to this are made by the Main Course Tutor on a case-by-case basis.
No refunds will be given should you withdraw from the course for any reason.
I have read and understood the conditions of application, and agree to abide by them.
Signed: / Date:

Please send the completed application form and application task to:

CELTA Tutor

British Council

Lainchaur

PO Box 640

Kathmandu, Nepal
Tel: +977 1 4410798 extn 3129
E-mail:

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