Cambridge CELTA application form | Durban Language Centre

CAMBRIDGE CELTA – Application Form

Please complete the form below to begin your application for our teacher training course. Once we have received your application, we will contact you to arrange an interview.

Personal Details

First Name *
Middle Name
Surname *
Preferred Name
Date of Birth
ID Number
Preferred Start Date
Current Occupation
First Language
Second Language What other languages you speak, read or write?
Third Language What other languages you speak, read or write?

Contact Details

Phone Number
Alternate Number
Email *
Alternate Email
Photo

Education (please state only institution name and study years)

Secondary School
Higher Education
Graduate Start Date (Tertiary Education Start Date)
Graduate/Post Graduate End Date (Tertiary Education End Date)
Other relevant qualifications

Training

Instructions PLEASE don't use Enter (return) ie. only one paragraph per block. Thanks!

Do you have any formal training as a teacher? (Course name)
Start Date - End date
Do you have any experience teaching? (TEFL) (Last relevant school and dates)
Start Date
End Date
Do you have any experience teaching? (Other) b. Other subjects? (Last relevant school and dates)
Start Date
End Date
Do you have any experience teaching? (Training) c. What other work experience or professional training do you have? (Last relevant school and dates)
Start Date
End Date
Text

Reasons for Application

Instructions PLEASE don't use Enter (return) ie. only one paragraph per block. Thanks!

a. Why do you want to follow the course? (Motivation)
b. Why do you think you would be suited to teach English?

Address

Street Address 1
Street Address 2
State
City
Zip/Post Code
Country

Referees

How did you find out about the school?
Referee Name 1
Referee Number 1
Referee Name 2
Referee Number 2
Text

Verification

Please enter any two digits *Example: 12
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