Last name (required)
First name (required)
Date of birth
Place of birth
Other Languages (incl. CEFR level)
Education (incl. dates, qualifications, awarding bodies etc.)
Prior experience in teaching English as a foreign language (incl. dates, organizations etc.)
Other relevant experience (incl. dates, organizations etc.)
Do you have a history of any of the following?
Anxiety Depression Other
Diabetes Epilepsy Other
Dyslexia Dysgraphia Other
We require this information in order to be able to advise you as to the most suitable course format and to provide you with the necessary support. For example, if you have been diagnosed with dyslexia you are eligible for extended assignment deadlines.
Other relevant information
Please provide the name and email of two people who can provide you with a reference in a professional capacity, i.e. not family members or friends. Please indicate your relationship to them.
If you are a resident in Lazio, we will need you to attend a face-to-face interview. Please provide us with a selection of days and times when you would be available to come to Globally Speaking. If you live outside Lazio, we can organize a Skype/phone interview. Please indicate your availability.
Reasons for applying for the course (150-180 words)
We need to verify that your written English meets Cambridge's minimum requirements of a high C1/C2 level of proficiency.