Trinity College London CertTESOL / Registration form

Personal Details

Name

Date of Birth

Nationality

Address

Telephone Number

Please give the name, address and telephone number of someone we can contact in case of an emergency e.g family member / friend.

Preferred TEFL course dates (please select).

2nd preferred TEFL course dates (please select).

Qualifications

Please give details of your qualifications including High School qualifications.

Please give details of any TEFL / TESOL qualifications you have (if any).

Work Experience

Please give brief details of your work history.

Please give details of any TEFL / TESOL work experience you have

Why do you want to do the TEFL course?

Health / Welfare

Are you travelling alone to Edinburgh? Yes No

Do you have any allergies? Yes No

Do you need any special medication? Yes No

If yes above please give details:

Do you have any addictions (including alcohol) which may affect your performance while doing the CertTESOL course? Yes No

Please give details of any health problems that might need attention while doing your course here in Edinburgh:

Do you have any criminal convictions? Yes No

If yes above please give details.

Do you need a visa to study in the UK? Yes No

I have been interviewed either by telephone or in person and I have received a registration number
Yes No

Registration number

How did you hear about us?
Internet search engine
Newspaper Ad
Directory
Friend / Family
Other

Transfer / Cheque Details (Please make all cheques payable to TLI ltd.)

Account Name: TLI Ltd.
Bank: The Royal Bank of Scotland
Sort Code: 83-51-00
Account Number: 10426544
IBAN No.: GB14RBOS83510010426544
IBAN BIC No: RBOSGB2L

Thank you for completing the form. Please check that you have entered your details correctly