Certificate in English Language Teaching to Adults (CELTA) 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   Country   Post Code    Nationality    Date of Birth    (DD/MM/YYYY) Tel. No.   (with STD) Fax No.   (with STD) Passport No   Place of Birth   E-mail

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.

Preferences / Medical conditions If you need accommodation, please contat us at info@manacad.co.uk or on +44 (0) 161 2375619 Do you want the Academy to arrange accommodation for you?

Accommodation			Type				Duration   Price(£)
Homestay			Select a Type Standard diet - Half Board Kosher - Full Board
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

Have you seen a doctor or been admitted to a hospital in the last 12 months?* 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

Online payments: Please note we DO NOT accept American Express cards. 

Payment method			Surcharge
	Online	Other Credit/debit American Express	£
	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.