CELTA APPLICATION FORM

FOR OFFICE USE

Date received
Interview
A: W.L: R:
Please return this application form and a recent photograph to the centre of your
choice:

CELTA Applications, New Delhi
English Language Teaching Centre
ritish C!uncil Divisi!n
"# $astur%a &andhi 'arg
(ew Delhi "")))"
CELTA Application, Mumbai
ritish C!uncil
*)"+ *
th
Fl!!r
One India%ulls Centre
,-" Sena.ati a.at /arg+ El.hinst!ne R!ad West
'u/%ai -)) )"0
CELTA Applications, Chennai
ritish C!uncil Divisi!n+
ritish De.ut1 2igh C!//issi!n
#0# Anna Salai
Chennai 3)) ))4
CELTA Applications, Kolata
ritish C!uncil Divisi!n+
L5T Cha/%ers+ "
St
Fl!!r+
"3 Ca/ac Street+
$!l6ata #)))"#
Or email it as an attachment with a scanned photograph to:
(ew Delhi a..licati!ns t! 6arish/a.6a7i/8%ritishc!uncil.!rg
'u/%ai a..licati!ns t! celta.en9uir18%ritishc!uncil.!rg
Chennai a..licati!ns t! a%raha/.david8%ritishc!uncil.!rg
$!l6ata A..licati!ns t! r!shan.ch!udhur18%ritishc!uncil.!rg
The deadline for applications is one month before your course date.
Full name! Nationalit"!
A##$ess!
Telephone numbe$%s&!
E'mail! Date o( bi$th!
)hich cent$e woul# "ou lie to #o the CELTA in* Please in#icate "ou$ p$e(e$ence
:;lease n!te that i< n!t en!ugh candidates are selected <!r a date in !ne centre+ the1 will %e
given the !.ti!n t! d! the ne=t c!urse at the !ther centre+ .r!viding .laces are availa%le>
(ew Delhi Centre
'u/%ai Centre
Chennai Centre
$!l6ata Centre
? The ritish C!uncil+ India 4)"-
The +nite# Kin,#om-s inte$national o$,anisation (o$ e#ucational oppo$tunities an# cultu$al $elations. We are registered in England as a charit1.
CELTA APPLICATION FORM
P$esent occupation! Fi$st lan,ua,e!
Othe$ lan,ua,es spoen! :;lease list and evaluate 1!ur level using %eginner@;reA
Inter/ediate@ Inter/ediate@Advanced>
P$o(essional /uali(ications! (please include dates & institutions in reverse order attach a
separate sheet if necessary)
".
4.
0.
En,lish lan,ua,e teachin,
e0pe$ience! (if applicable)
? The ritish C!uncil+ India 4)"-
The +nite# Kin,#om-s inte$national o$,anisation (o$ e#ucational oppo$tunities an# cultu$al $elations. We are registered in England as a charit1.
CELTA APPLICATION FORM
Othe$ wo$ e0pe$ience!
Re(e$ences! :Please include a professional and a personal reference). Give the name,
contact details, and their relationship to you.
Re(e$ence 1 Re(e$ence 2
3ealth!
Are 1!u in g!!d healthB
D! 1!u have an1 c!nditi!ns that we sh!uld %e aware !<B I< s!+ .lease state what the1 are.
Where or how did you learn about the C!"#$
Where or how did you find out that the %ritish Council was runnin& the course$
)$itten Tass
". ;lease descri%e one ,oo# lea$nin, e0pe$ience and one ba# lea$nin, e0pe$ience
that 1!u have had :n!t necessaril1 related t! language learning>. ;lease write a..r!=.
"C) w!rds and use <ull sentences and .aragra.hs.
? The ritish C!uncil+ India 4)"-
The +nite# Kin,#om-s inte$national o$,anisation (o$ e#ucational oppo$tunities an# cultu$al $elations. We are registered in England as a charit1.
CELTA APPLICATION FORM
4. ;lease e=.lain wh" "ou woul# lie to #o the CELTA c!urseB D! n!t write /!re
than "C) w!rds and .lease use <ull sentences and .aragra.hs.
? The ritish C!uncil+ India 4)"-
The +nite# Kin,#om-s inte$national o$,anisation (o$ e#ucational oppo$tunities an# cultu$al $elations. We are registered in England as a charit1.