CELTAApp 2013

Cambridge CELTA Application Form
PART 1
Please enter the centre (Bangkok, Chiang Mai or Phuket), date and number of the course you are applying
for:
Course Detail
Centre:
Course Code:
Course start date:
Package:
Bangkok and Board
Chiang Mai Xtra
Phuket Plus
Course Only
Personal Details (For identification purposes for Cambridge ESOL regulations)

Identification Type:
Passport *
Thai National I.D *
Identification Number:
Surname:
Other Name:
Title:
Address:
Date of Birth:
Nationality:
Tel No (Home):
Tel No (Work):
E-mail address:
Skype:
First Language :
Present Occupation:
Attach Photo Here
Attention Please Note:

1. Please bring this on the first day of the course to show you are indeed that trainee.
2. Please use just one email address consistently to communicate with us throughout the
application process to avoid missing any messages.
3. Check your junk mail box if you do not receive expected acceptance letter communication.
FORMAL EDUCATION AND QUALIFICATIONS
School/College/University
Qualifications Obtained
Dates
Cambridge ESOL
Certificate in English Language Teaching to Adults
If your first language is not English, please indicate your level of proficiency in both spoken and written
English.
Please provide details of any other languages you speak and indicate your level of proficiency.
Please provide details of any experience you have of Teaching English to Speakers of Other Languages
and of any qualifications you hold.
(Previous experience is not a requirement for CELTA courses)
International House Bangkok
7th Floor, Silom 64 Building, Silom Road, Suriyawong,
Bangrak, Bangkok, 10500 Thailand.
Tel: (662) 632-6790-2 Fax: (662) 632-6792
Email: celta@ihbangkok.com
ihbangkok.com
Cambridge ESOL
Please provide details of any other relevant teaching / training experience you have:
How did you hear about the CELTA course at IH Bangkok?
Please provide details of any medical disability that might affect your ability to complete the course

Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com
Cambridge ESOL
Referees
Name
Position
Address
Name
Position
Address
PART 2 (PERSONAL STATEMENT)

Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com
Cambridge ESOL
In the space provided, please explain why you want to do the course and why you feel you would be a
successful teacher of English to Speakers of Other Languages (max. 200 words):
Having read all the information on this site (and on other websites), what would you expect your strengths
and weaknesses to be on the CELTA course? (max. 100 words)
PART 3 (Answer from Pre-Interview Task Sheet)

Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com
Cambridge ESOL
Part One - Grammar
1.1 Please write / type your answer in the spaces
1
10
11
12

Name
Comment
1
2
3
4
5
6

7
8
9
Part Two - Vocabulary

2.1 Please write / type the whole sentence in the spaces
Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com
Cambridge ESOL

6
Part Three - Pronunciation

3.1 Please write / type your answer in the space below

Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com
Cambridge ESOL
3.2 Please put the number of syllables in the brackets after the words and underline the stressed syllable
within each word
2
photograph ( )
photographer ( )
photographic ( )
politics ( )
political ( )
politician ( )
3.3 Please underline the word in Bs reply

A: Do you come from Wellington?
4
B: No, I work in Wellington.
A: Which one do you want to buy?

5
A: Do you want to buy the green one?
B: No, I want to rent it
B: I want the green one.
A: Im six foot.
7
B: No, how old are you?
Part Four - Text

Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com
Cambridge ESOL
Part Five - Teaching and Learning

5.1 Please write / type a letter
Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com
Cambridge ESOL
Order of activities
Activity
Rationale:
1
2
3
4
5
5.2 Please write / type your composition in the space and include a word count
5.3 Please write / type your composition in the space and include a word count

Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com
Cambridge ESOL

Tel: (662) 632-6790-2 Fax: (662) 632-6792
ihbangkok.com

CELTAApp 2013

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CELTAApp 2013

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Cambridge CELTA Application Form

Course start date:

Chiang Mai Xtra

Personal Details (For identification purposes for Cambridge ESOL regulations)

Thai National I.D *

Attach Photo Here

Attention Please Note:

How did you hear about the CELTA course at IH Bangkok?

International House Bangkok

PART 2 (PERSONAL STATEMENT)

PART 3 (Answer from Pre-Interview Task Sheet)

1.2 Please write / type your answer in the spaces

1.3 Please write / type your answer in the spaces

Part Two - Vocabulary

2.2 Please write / type your answer in the spaces

Part Three - Pronunciation

International House Bangkok

3.3 Please underline the word in Bs reply

B: No, I work in Wellington.

A: Which one do you want to buy?

A: Do you want to buy the green one?

B: No, I want to rent it

B: I want the green one.

Part Four - Text

4.2 Please write / type your answer in the space below

Part Five - Teaching and Learning

International House Bangkok

International House Bangkok

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