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.