INTESOL Prague

* Which course are you applying for? Onsite Basic Onsite Standard Fusion Basic Online Certificate

* Starting date of course (first choice):

* Starting date of course (second choice):

* Full name:

* Full address:

* E-mail:

* Nationality:

* First language:

* Home telephone:

* Emergency contact:
(Please provide name, phone, and address)

Cell / Mobile telephone:

Current occupation:

Do you have any illness or disability?:

* Are you interested in working in Prague after the course? Yes No Not sure

* Do you need accommodation during the course? Yes No

Czechs and other EU nationals, please type in your ID card or passport number.
Non EU nationals plese type in your passport number.

* Passport or ID card number:

Please give details of secondary and higher education and any languages you speak / read / write and to what level.

* Secondary education:

* Higher education:

* Languages:

* Please talk about any experience you' ve had teaching English as a Foreign Language or any other subject.

* Please give us some details about your most recent work experience (if different from above).

In this section we ask some questions to get to know you better, what you think is important for a teacher's success and where you see yourself in the future. Please pay close attention to grammar and spelling; we are looking for people who have a solid understanding of the English language before they set about teaching it.

* Short essay 1:
In your opinion, what makes a teacher successful in the classroom (maximum 250 words).
Think about your teaching experiences (if any), or what made one of your teachers successful and why.

* Short essay 2:
What do you plan to do after you finish the course?
Where do you see a career in TEFL leading you in 5 years time? (200-300 words)

How did you hear about INTESOL Prague?

Please tell us about your hobbies and interests so we can suggest some free time activities for you while in Prague.

* What are you most interested in seeing/doing in the Czech Republic?

Additional comments:

Only PDF (.pdf) or Microsoft Word (.doc) files alowed. Maximum file size 1Mb.