Cambridge CELTA Course Application Form

Application Form
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Please fill in this form fully and carefully.

Date of Application: ___________
Which CELTA course are you interested in? Please circle as appropriate and add the month /
year the course starts:
Tuesday / Thursday (Days) starting in

__________________

Monday / Wednesday (Eves)

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Online CELTA

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Are there any dates you will not be available for interview?
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Section A: Personal Details
Family Name: ________________________

Given Name(s): __________________________

Nationality: __________________________

Date of Birth: ___________________________

Gender:

First Language: _________________________

M / F

Do you speak any other language? Please comment on your level of spoken and written
proficiency.
_____________________________________________________________________________
Home Address:

Address in Malaysia (if different):

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

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Cambridge CELTA Course Application Form

Home No. _____________________

Mobile No.: _____________________

E-mail address: ______________________

Present Occupation: ________________

Section B: Education
Please list your qualifications (secondary education, tertiary, other relevant qualifications)
Dates

Qualification(s)

Subjects

Grade(s)

Please note that you will need to bring proof of your highest qualification to the
interview.
Have you completed any formal teacher training? If yes, give details below:

Section C: Work Experience

Please explain briefly your work history (e.g. industry and job type, number of years in
employment, etc)

Cambridge CELTA Course Application Form

Do you have any teaching experience? If yes, please give details below (e.g. subject, ages,
levels, etc).

Section D: Your reasons for wanting to do the course

For each question please write between 80 100 words in an appropriate semi-formal
style.
1.

Why do you want to attend the Cambridge CELTA course at British Council KL?

2.

What do you hope to gain from the course?

3.

What relevant qualities and experience do you have?

4.

What do you intend to do upon completion of the course?

Cambridge CELTA Course Application Form

Please use the space below for any other information you think is relevant to your
application.

Referees
Please give the names, positions, addresses and phone numbers (if known) of two referees
who would be prepared to give relevant support to this application.
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Conditions of Application
Acceptance onto the Cambridge CELTA course at British Council Kuala Lumpur is not
automatic or guaranteed. Applicants must satisfactorily complete a language
awareness task, a writing task and pass a screening interview to be accepted.
Candidates must be able to demonstrate a level of spoken and written English which is
suitable for the demands of the course. The decision of the centre is final.
I have read and understood the conditions of application, and agree to abide by them.
Signed: ____________________________

Date: __________________________

Please email the completed application form and application task to:
sarah.bunyan@britishcouncil.org.my & vaishali.salukhe@britishcouncil.org.my
Alternatively, please post your application to:Cambridge CELTA Course - Teacher Education Unit,
British Council Kuala Lumpur, Ground Floor, West Block, Wisma Selangor Dredging,
142C Jalan Ampang, 50450 Kuala Lumpur, Malaysia