choose your language:
 

Certificate in English Language Teaching to Adults (CELTA)

 (this form can now be used for both online and offline payments)

Please select a course, choose the dates then select duration and fee. For more information about the courses please click here. Alternatively, if you want to view your payments summary or to pay the balance from a previous invoice click here.

Please note :

  • The booking will not be processed unless we receive completed pre-course tasks and a deposit of £300. You can download the tasks here.

  • Your place will not be secured until you have been interviewed.

You can pay the deposit online  or send it along with your completed tasks.
 
Type of Course Dates Duration       Price(£)


Personal Details
Please do not leave any fields blank.

Mr. Mrs. Miss

Male Female

Surname      First Name  
Address      City   
Post Code      Country  
Nationality      Passport No  
Date of Birth    (DD/MM/YYYY)   Place of Birth  
Tel. No.   (with STD)   E-mail  
Fax No.   (with STD)        
             

Education

     
Profession/Occupation  

Level of Education

 

University College Secondary School

Languages Spoken  
School attended  
Qualifications  
College attended  
Qualifications  
University  
Qualifications  
 
English Level  
English Language Level (and examinations passed if English is not your native tongue)
 
Teaching experience  
Teaching experience (if any) in English to speakers of Other Languages/other Subjects

 

 

Please explain what you hope to gain from the course and why you feel suited to this kind of teaching.


Accommodation

Do you want the Academy to arrange accommodation for you?

Accommodation

Type Duration   Price(£)

Homestay

 
Self-catering 
None
Beginning Date Ending Date

 

if yes then please complete this section as well:

Your religion

Degree of observance

Do you take any medication? Yes No
if yes, please specify

Do you have any allergies? Yes No
if yes, please specify

Do you have any physical handicap? Yes No
if yes, please specify

Do you have any existing medical conditions?* Yes No
if yes, please specify

Please provide us the contact details of who we should contact in case of emergency:*
Full name:
Telephone number:
Email address:
Relationship:

Do you smoke? Yes No

Any special diet? No Vegetarian Food Kosher Others
if others, specify

 

Disclaimer

Do you have any medical condition or other problems which may affect your performance or the performance of any
other member of the course (such as dyslexia or any speech or hearing impediment or epilepsy)? Yes No
if yes, please specify

Do you have a criminal record? Yes No
if yes, please specify

 
Airport Transfer

Single journey from Manchester Airport to the accommodation
Would you like the Academy to arrange an airport transfer for you?

 Yes
  

  No

 

Insurance

We strongly recommend that you apply for Feeguard insurance cover in case of cancellation. Please click here to apply directly to Gibbs Denley Insurance Services. 

Source of Information
 
How did you come to know about us ?
Yellow Pages British Council English UK Passing by Recommended

Other Internet

 
Terms and Conditions

I understand that unless I complete the assessment tasks and pay a deposit of £300, the booking will not be processed and also a place will not be secured until I have been interviewed. *

I have read the terms and conditions and understood and agreed to the conditions of enrolment.
*


Fees & Deposits
     

Deposit

£

Accommodation fees (One week in advance) + Booking fee (£35)                   

£

Airport transportation fee

£

Total Deposit:  

£

Or

 

Full Payment:  

£

Online payments: Please note you incur a surcharge of 3.35% for American Express payments. 
Payment method   Surcharge

Online £
Other   Pay by bank transfer, cheque, bank draft or cash.

Total Online Payment: £

The Academy will only reserve places for a student when a deposit or full payment is obtained.

 

 

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