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Application Form

 
Please do not write in this space
  Course applied for: 

  

  
Please complete this application form carefully.   When you are satisfied that you have filled in all the fields correctly click "submit".

Teacher Training Department
International House Lisbon
Rua Marquês Sá da Bandeira, 16
1250-148 LISBOA
Portugal

e-mail: ttraining@ihlisbon.com
  
 
Date of
Application
/ /
Name

Please do not write in this space
     
     
     
     
     
  
Course Type
Please read the description of the courses we offer so that you indicate below exactly the kind of  course you are applying for.    Indicate below which course you require.
  
I wish to apply for: Cambridge CELTA
 Cambridge CELTYL
 Cambridge Extension Course for Teaching Young Learners
 Cambridge DELTA
 Introductory Copurse to ELT
  
I wish to take the course: Full time
 Part time
  
2. COURSE DETAILS
  
Please indicate the starting dates of the courses you wish to apply for in order of preference. If only one or two dates are feasible for you, leave the remaining spaces blank.
  
1st choice: / /
2nd choice: / /
3rd choice: / /
  
3. PERSONAL DETAILS
Surname:
First Name(s):
Date & place of birth:
Nationality:
Present occupation:
Present address:
Phone no.:
Permanent address:
 (if different from above)
e-mail:
  
4. LANGUAGES
Which languages do you speak / read / write?
Please mention your level of proficiency
  
What is your mother tongue?
  
If English is your mother tongue, please go to the next section. If not, please answer these questions:
How well do you speak / read / write it? 
  
What qualifications do you have in English?
  
Do you live, or have you ever lived, in an English-speaking environment?
  
For how long? Please give details.
  
5. EDUCATION
Name of secondary school(s) & dates of attendance
  
What school-leaving qualifications do you have? (e.g. ‘A’ levels, 12º ano etc.).
  
Further education (e.g. university, college). Please mention degrees, certificates etc.
  
Other relevant qualifications
  
6. TRAINING / WORK EXPERIENCE
Do you have any formal training as a teacher?
  
Do you have any experience of teaching?
  
Do you have any experience of Teaching English as a Foreign Language? Please give names of schools, dates and levels)
  
Have you taught any other subjects? Please give details.
  
Do you have any professional training?
  
What work experience do you have?
  
7. ANY OTHER INFORMATION WHICH YOU THINK MAY BE RELEVANT TO YOUR APPLICATION
  
8. WRITE BRIEFLY ABOUT WHY YOU WANT TO FOLLOW THE COURSE AND WHY YOU THINK YOU WOULD BE SUITED. (+/- 100 WORDS)
  
9. INTERVIEW
Are you able to attend an interview at IH Lisbon? yes no 
  
If not, please specify an International House Teacher Training Department outside Portugal where you can attend an interview. Please see the brochure for details.
  
10. CAMBRIDGE DIPLOMA CANDIDATES ONLY
Please give details of your teaching experience: countries, schools, dates, levels, and materials you are familiar with.
  
Is your school able to provide Adult classes at all levels?
  
Is your school willing to comply with the requirements concerning observations? Please see the brochure for details.
  
Are any of your colleagues in the school taking the course?
  
How many teaching hours do you expect to have next year?
  
Who will be responsible for your fees?
  
How will these be paid?
  
Please give the names and addresses of two referees who would be prepared to give relevant support to this application.
Thank you.
This is the end of the application form.