Courses In The Teaching Of English To Speakers Of Other Languages. First Names:

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1 Courses In The Teaching Of English To Speakers Of Other Languages SECTION A Programme: Certificate TESOL ڤ Diploma TESOL ڤ MA TESOL ڤ Start Date: SECTION B (Please complete this section in BLOCK Capitals) Mr Ο Mrs Ο Miss Ο Ms Ο Other Ο Date of Birth Family Name: First Names: Correspondence Address: Tel Number: Fax Number: Nationality: Permanent Address (if different from above): Tel Number: 1

2 SECTION C - EDUCATION AND QUALIFICATIONS 1. Give particulars of the school, college and/or university at which you have been principally educated since the age of 16: Name of school, college etc. Dates Part-time / Full-time 2. If English is not your first language you need to have the following level of English in order to be enrolled on the course: IELTS 6.5 / TOEFL 560 / Cambridge Proficiency. Please indicate here your English level and state whether you have a certificate to confirm this. Mother tongue: Level of English: Certificate of proof available (tick) : If you do not have a formal qualification in English please give a statement as to why you believe your English level is sufficient to be able to work at Master s level: Academic* and professional qualifications: Awarding Body Principal Subjects Name of Qualification* Date Awarded *Include class (and division or grade) of degrees where applicable 2

3 SECTION D - TEACHING EXPERIENCE: Please indicate number of years of TESOL experience you have here: Give full details in this section 1. Present Post. Give name and address of institution, date of appointment, a brief description of your work and state whether full-time or part-time. 2. Previous Appointments/Experience in chronological order with dates and brief description of the work. Continue on a separate sheet if necessary. SECTION E - FURTHER INFORMATION REQUIRED 1. Please state how you intend to cover the cost of taking this course and whether you wish to make a one off payment or use the instalment system (see timetable). SECTION F REFERENCES: Give the names and addresses of your TWO referees, of whom at least one has knowledge of your professional work. 3

4 1. 2. SECTION G - ADVISORY INTERVIEW: If you have had an interview with any staff member of the Language Studies Department or International Office, please give the date and name of the interviewer. SECTION H - ANY OTHER INFORMATION: Please write a brief letter in support of your application. SECTION I - COLLEGE INFORMATION SERVICE: Please indicate where you first learned about the existence of this course. SECTION J - PERSONAL STATEMENT: (Please hand write this): Write a personal statement in support of your application on a separate sheet of paper this should not be more than 500 words in length. SECTION K - DECLARATION BY APPLICANT I,..., hereby request the Principal to enrol me as a candidate for admission to the University. I undertake, if admitted to the University, to abide by the regulations of Christ Church University and any other authority granting the degree, diploma or certificate. I confirm that all the information given on this form is true, complete and accurate. Date: Signature: When completed this form should be returned to: International Office, 4

5 Canterbury Christ Church University, North Holmes Road, Canterbury, Kent CT1 1QU. UK Tel No. Int (0) UK Fax No.: Int (0)

6 To the applicant: Please photocopy this form (translations into Spanish or French versions for referees who do not speak English but use these languages is also acceptable). Send it to your referees and ask them to send it back to you in a sealed envelope. Please then send them with your application form. Please fill in your name and the name of the course in the spaces below. (You need to use print layout in view to see this form on the screen) To the referee:..has applied to undertake the following Programme(s) of study: Masters in Teaching English to Speakers of Other Languages We should be grateful if you would give your opinion on the applicant s suitability for the proposed study. You may wish to comment under the following headings: how long and in what capacity you have known the applicant the applicant s proficiency in English, if English is not the mother tongue health academic ability character and attitude to study Name: Professional Status: Tel No: Address: Signature: Date: 6

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