CELTA
application form

CELTA Course Application Form

Title (Mr, Mrs, Miss, Ms)(Required)

Name and surname*(Required)

First Last

Today’s date(Required)

Date of birth(Required)

Place of birth(Required)

First language(Required)

Nationality(Required)

Address(Required)

Telephone number(Required)

Email*(Required)

English language certification (Include year and CEFR level)(Required)

Other languages (with CEFR level, eg B1)(Required)

Education history (include dates, qualifications, institutions etc.)(Required)

English teaching experience(Required)

Other relevant experiences (include dates, organisations etc.)(Required)

Health

Providing information about your health status or special needs is entirely optional. However, if you require specific support, you may choose to provide these details. Please note that by entering this information, you expressly consent to its processing and disclosure to Cambridge University Press & Assessment. These data will be shared and used for the sole purpose of advising you on the most appropriate course format and arranging the necessary support (such as extending assignment deadlines if you have a diagnosed learning difficulty like dyslexia).

Mental health

Anxiety

Yes

Depression

Yes

Other (please specify)

Physical health:

Diabetes

Yes

Epilepsy

Yes

Other (please specify)

Learning differences:

Dyslexia

Yes

Dysgraphia

Yes

Other (please specify)

Other relevant information

References(Required)

Availability for Interview(Required)

Reason for enrolling in the course (150-180 words)(Required)

Choose your CELTA course(Required)

How did you hear about Globally Speaking? *(Required)

I agree to the processing of my health data or other special needs and disclosure to Cambridge University Press & Assessment for the purpose of arranging necessary support and/or specific access

I consent

I hereby declare that I have read and understood the Privacy Notice below(Required)

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CELTAapplication form

CELTA Course Application Form

GLOBALLY SPEAKING

ORARI SEGRETERIA

CELTA
application form