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  Application On Line
   
   
 
We are happy to see you are interested in certification as an English language teacher. The CELTA is your best option for training. Please complete this application by clicking and entering information in the shaded table boxes and return it to us as soon as possible. You can also Download Application as a document, fill it and send it back by email to johngwarren@yahoo.co.uk Once your application is reviewed, we will contact you to arrange an interview. If you completed this Application online, you will receive a copy on the email address you posted, please retain it throughout your application process.

We are committed to processing your application as quickly as possible. If you email the application, save it with the file name "Application [your full name]" and attach it to your response. You will receive a delivery acknowledgement within twenty-four hours and your application be will processed within three working days, at which time you will be contacted to complete the application process. If you post the application, we will mail you a response within five working days of receipt of the application. If you do not hear from us within a reasonable time, please contact us to resolve the problem.

If you have applied to another approved CELTA centre within the last year and your application was accepted, you may, if you wish, forward it to us rather than complete another application with Southern Cross.

Please note that acceptance on the course requires a telephone interview with a Cambridge certified trainer. This interview of approximately 20 minutes will be arranged at your convenience after your application has been accepted.
   
 
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Course Dates
 
* This field is compulsory
 
Please indicate the course number you wish to attend. In the event it is full, indicate your second choice.

First Choice:

 

Second Choice:
   

 

 

Course
Dates
2010001
22 Feb – 26 Mar
 
2010002
 
05 Apr – 07 May
 
2010003
 
10 May – 11 Jun
 
2010004
 
21 Jun – 23 Jul 
 
2010005
 
09 Aug – 10 Sep
 
2010006
 
20 Sep – 22 Oct
 

 

 

 

Course price: $ 1,300.00

 

 
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Personal Information
     
Given Name (s)
 
Family Name (s)
 
     
   
Day, Month, Year of Birth          
     
Country of Birth :  
     
Nationality:  
     
Please include a passport style    
digital photo in .gif or .jpg format : ( less than 100kb )  
     
Gender ( M / F)   
     
     
Indicate if you have any mental or physical health condition that might affect you or the others on the course
     
 
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Contact Information
 
Primary Email Address:  

 

Alternative Email Address ( Optional ) :  

 

Telephone ( include country code ) :  

 

Alternative Telephone ( Optional ) :  

 

Land / Cell :  

 

Street Address:  

 

Country:  

 

City:  

 

State / Province / Region :  

 

Postal / Zip Code:  
 
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Education and Professional Experience
 

Please give details of the highest level of formal education you have attained:

 

 

Please indicated what languages besides English you speak at intermediate level or above:

 

 

Please indicate your most recent employment:

 

 

 

Please give details of any EFL or other relevant teaching experience you may have:

 

 
 
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Other Relevant Information
 
Please tell us how you found out about Southern Cross Teacher Training
 
Will you require accommodation to be arranged for you?    
 
Do you have any special needs that will need to be arranged for you ? Is there anything else we need to know ?
 
 
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Extended Written Task
 
Please write a text of up to 400 words that covers the following:
 
> Your reasons for deciding to do the CELTA
> What you intend to do with your certification; where and how you plan to work as an EFL teacher
> Anything you would like to know about the course that you have not learnt about through your research
 
 
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Declaration
 
Initials:
Date:              
 
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SOUTHERN CROSS BRITISH LANGUAGE CENTRE CALLE LUIS ORRANTIA MZ 110, EDIFICIO 1107 KENNEDY NORTE (593) 4-2684404 / 42684233
Guayaquil | Ecuador. © 2007. Southern Cross Teacher Training Centre
   
   
 

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