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Byron Trinity CertTesol Application form (pag. 1/2)
All information given in the application will be treated with strictest confidentiality.
Byron Language Development does not pass on details to third parties.
For further information please look at our privacy policy (103 Kb).
* All fields marked with an asterick are obligatory |
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Course details |
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Please specify the course date you
prefer *
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Please indicate a second choice
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Accommodation |
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Will you require accommodation? *
Please could you indicate your accommodation preferences?
Click for details (161 Kb)
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Personal information
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Name *
Gender *
M
F
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Surname *
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Date of birth *
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Nationality *
If other, please specify *
Current address
Street and number *
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Place/Country of birth *
First Language *
If other, please specify *
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City *
Country/State *
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Post/Zip Code *
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Tel (including country code) *
Permanent address (if different)
Street
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E-mail *
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City
Country/State
Tel (including country code)
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Post/Zip Code
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Education/Employment History
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Secondary Education
Please list qualifications *
If other, please specify
Higher Education
Yes
No
If yes, please specify
Name of College/University
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Date
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Qualification granted
If other, please specify
Post-graduade qualification
Yes
No
If yes, please specify
Do you have a previous teaching qualification? If so, please give details
If other, please specify
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Date
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Subject studied
Date
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Do you have any teaching experience? If so, please give details
Present occupation:
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Do you have any other professional qualifications? If so, please give details
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If English is not your first language, please indicate your current level
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Do you speak any other languages? If so, please list
Language
Language
Language
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Level
Level
Level
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Do you have any medical conditions we should be aware of?
Yes
No
If yes, please specify
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Do you have a criminal record?
Yes
No
If yes, please give details
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Contact number in case of emergency:
Name
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Contact telephone
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How did you hear about the Byron Trinity CertTESOL? *
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If other, please specify
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Please write briefly why you wish to take the Byron Trinity CertTESOL
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Please give the names and addresses of two referees:
1.
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2.
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Selection Interview
We will be contacting you to organise the time for your interview and selection task.
This consists of a face-to-face or telephone interview and a written task to be completed immediately afterwards.
Please indicate a time that is most convenient for you below.
Please note that the written task must be completed by hand and sent back to us
by fax or as a scanned document within 45 minutes of receiving it.
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I am available to come to Byron language Development for my interview
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It is convenient for me to call
(please note these times are Central European times is GMT + 1hour, please calculate your preference accordingly)
Mon-Fri between 9 am and 12 pm
Mon-Fri between 12 pm and 2 pm
Mon-Fri between 2 pm and 6 pm
Mon-Fri after 6 pm
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Please indicate the fax number (including country code) to which we can send the written task:
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I accept the privacy policy * |
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I certify that the above information is correct and I understand that any false or misleading
information may result in my application being rejected
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