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EBC International TEFL Certificate

TEFL COURSE APPLICATION FORM

EBC promises not to willingly or knowingly give, sell or otherwise convey the information from your application to any other person, persons or entity. EBC will add your name to our list of course applicants. This means that you will receive emails regarding your application status.

Contact and TEFL course preferred date **

First name: ________________________________________

Last name: ______________________________________________

Your email address: _________________________________

Course location you want to attend:___________________

Name of the course you want to attend:___________________

Date of the course you want to attend:___________________

Personal details **

Date of birth:

_____________________

Age:

_______

Place of birth:

_____________________

Country of birth:

_____________________

Nationality:

_____________________

Mother tongue:

_____________________

Contact address **

Apartment:

_____________________

Number & street:

_____________________

City:

_____________________

State:

_____________________

Zip/Post code:

_____________________

Country:

_____________________

Phone

_____________________

Emergency contact address **

Apartment:

_____________________

Street:

_____________________

City:

_____________________

State:

_____________________

Zip/Post code:

_____________________

Country:

_____________________

Phone:

_____________________

Contact person:

_____________________

Education

Date (mm/dd/yyyy)

Qualification

Subjects and grades

Institution

_____________________

Language skills

Language

Read

Write

Speak

(tick which apply)

_____________________

___

_____________________

___

_____________________

___

Experience (100 word maximum for each item)

Teaching experience:

Non-teaching work experience:

Professional training:

Other relevant experience:

Additional information (25 word maximum for each additional detail field) **

How did you find out about EBC?

Additional details.

Have you ever been convicted of a crime or have a criminal record?

Yes	No
___	___

If YES, give details.

Do you have any health problems that require ongoing treatment?

Yes	No
___	___

If YES, give details so that we can advise regarding treatment.

Do you require any special assistance owing to a physical disability?

Yes	No
___	___

If YES, give details so that we can arrange suitable provisions for you.

Written section **

Please attach a short essay of no more than 500 words, stating why your qualifications and experience would make you a good EFL teacher. Please include any experiences gained from outside the formal context of education.

Extra options and Service Agreement **


I acknowledge I have read and fully understand the TEFL course entry requirements	Yes: ___ No: ___

I acknowledge I have read, fully understand and agree to the EBC Service Agreement	Yes: ___ No: ___

Print this application form and fill it out. Sections marked as ** mean that all questions must be answered in each section. The other sections are optional but we do expect you to fill out some of the Education and Experience sections. If you need too attach additional sheets, please indicate to which section and answer they apply.

When you have completed the TEFL course application form either:

Fax it to (+34) 91 770 2112

or Mail it to:

EBC Servicios Linguisticos Europe SL, Orense 16, 2E, 28020 Madrid, Spain.