Teacher Training Application Form
International House - Accademia Britannica

International House Teacher Training
Viale Manzoni 22, 00185 Rome – Italy

Tel.: +39 06 70476894
Fax: +39 06 70497842
E-mail: segreteria@ihromamz.it

Please consult the dates and fees and terms and conditions documents relevant to your course of choice on this page before applying:
http://www.ihromamz.it/teacher-training-courses

Please insert your email here: *
Your answer
Please insert today's date here: *
This is to ensure that you are a person and not a machine!
Your answer
What is your preferred course start date? *
Please consult http://www.ihromamz.it/teacher-training-courses for your preferred course dates.
Your answer
Personal details: Title *
Please select which University of Cambridge Teaching Awards course you are interested in applying for: *
All courses have a minimum level of English requirement. Please consult: http://celta.wikispaces.com/file/view/OVERVIEW%20TT%20courses%202015.pdf/536969568/OVERVIEW%20TT%20courses%202015.pdf to discover what these levels are now.
What are your official name(s) & surname(s) *
Your answer
What is your date of birth? *
Your answer
What is your place of birth? *
Your answer
What is your current address? *
Your answer
What is your (cell) phone number? *
Your answer
What languages do you speak? *
Please state these in order of ability. The first should be your native language, for example.
Your answer
What is your nationality? *
Your answer
What is your current occupation? *
Your answer
Are you taking any medication or do you have any medical conditions or learning disabilities? *
If you answered 'Yes' to the previous question please expand here:
Please answer this question truthfully so that we can react appropriately in cases of emergency. If there is anything that would condition your progress on the course you should state it here also:
Your answer
What level of education do you have? *
Please tell us about your education from 2nd level up. Provide dates, awards/qualifications achieved, specialist areas and names of awarding bodies.
Your answer
Do you have any initial training in Teaching English as a Foreign Language? *
Please give qualifications, organizations, dates and grades.
Your answer
Do you have any formal training as a teacher of other subjects? *
Please give qualification, organization, dates and grades.
Your answer
What other work experience or professional training do you have? *
Please give details here.
Your answer
Is there any other information which you think may be relevant to this application? *
Your answer
Do you require any assistance in finding accommodation? *
Please note that we do not charge for this service and that you must solve any queries you have directly with the accommodation provider.
Please give the names, addresses, and telephone numbers of two referees who would be prepared to give relevant support to this application. Indicate in what context they know you. *
Please give details here:
Your answer
How did you hear about our courses? *
Tell us why you would like to take the course in 120-150 words here: *
It is fundamental to write between 120-150 words here without consulting grammars or dictionaries as this enables us to establish your level. Texts which are shorter than the word limit result in automatic refusal.
Your answer
Please insert your email here again: *
Your answer
I have read and accept the terms and conditions available at: *
Required
I declare that all written work related to the course, including this application, is my own and that I am fully aware that any detection of plagiarsim could result in a penalty. *
Penalities can range from loss of marks to disqualification from an award and a ban on re-entry for any future awards at any centre for a period of up to three years.
Required
Consent for use of your photo on our social network pages. *
We publish group photos of successful course participants on our social network pages (Facebook and Twitter). Please feel free to participate in this initiative or not on site but agree or disagree to your photo being placed on our social networks here. You may change your mind at a later date if you so wish.
Required
Disclaimer: *
Please insert your full name here again and note that in forwarding this form you declare that to the best of your knowledge, the personal information contained in this application form is accurate. You declare you are aware that DEPOSIT OR FEES FOR COURSES ARE NOT REFUNDABLE OR TRANSFERRABLE. You also CONSENT to being contacted with course information.
Your answer
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