Takeaway Please, Fill In The Form English > Level Pre A1 Pre-starter > What’s Your Name?

Instructor: clara vanessa del hierro quiroz Date: 9 /06/ 2021

Learner: Diana Catalina Ayala Regional Branch: nariño

Program: aseguramiento de la calidad del café en la finca

Center: la union nariño

CONTENT
• Let’s Start!
• Let’s Explore! • Let’s Practice! • Extension Activity • Target Words • Learning Points
Let’s Start!

Do you like to write? Let’s practice writing in English.

Learning Outcome:
Exchange basic personal information.

Ask your partner:

• Who do you call in an emergency?

my partner in case of emergency calls her

older brother
• A family member? A friend?
yes, to his brother

Can Do Statements:

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Takeaway Please, Fill In The Form English > Level Pre A1 Pre-starter > What’s Your Name?

• I can share personal information.

• I can complete an emergency
contact form.
• I can use a/an when naming
objects.

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 Takeaway Please, Fill In This Form English > Level Pre A1 Pre-starter > What’s Your Name?

Let’s Explore!

What’s an emergency contact form? Let’s find out!

Instructions: Read the text below.

Who do you call in an emergency or an accident? A friend? A family member?

An emergency contact form tells people who to contact if you are injured. You use it when
you are traveling, and in the workplace.

Let’s take a look at the details you include.

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 Takeaway Please, Fill In This Form English > Level Pre A1 Pre-starter > What’s Your Name?

• First Name (also known as Given Name)

• Last Name (also known as Surname)
• Age
• Address
• Phone Number
• E-mail Address
• The person’s relationship to you (e.g., parent, wife, husband)

It is important that the information you provide in the form is correct.

3
 Let’s Practice!

Instructions: Read the sentences below. Select the correct answer.

1. You have to fill in a form.

❑ a
❑ an
❑ of

2. What is NOT on an emergency contact form?

❑ First Name
❑ Things you like
❑ Address
❑ E-mail
❑ Last Name
 Let’s Practice!

Let's fill in an emergency contact form!

Instructions: Complete the form with the words from the box.

Jones Mother Mary 0345235 34 years old

123 Front St. Markham, Ontario Canada L3P 3Y5

1. First Name: Jones

2. Last Name: Mary

3. Age: 34 years old

4. Address: 123 front St. Markham, Ontario Canada L3P 3Y5

5. Phone Number: 0345235

6. E-mail: MaryJ@Intel.com

7. Relationship to You: Mother

Extension Activitiy

Complete this form. You can do it! Emergency Contact Form

Instructions: Complete the following steps. Last Name: Natalia

Fill in the Self Assessment.

First Name: Sofia

a) Ask a family member or friend
about their emergency contact.
Date of Birth: june 25th
b) Complete the emergency contact
form. Address: alameda neighborhood house

Self Assessment YesNo 24

I ask a family member. Telephone Number: 3105175172

I use a capital letter.

Target Words

Example: Jane.
E-mail: nataliaS@gmail.com
I complete a form.

• emergency contact (noun): a person to

contact when you are in an accident • relationship (noun): connection to
e.g. My emergency contact is my wife.
 someone
• address (noun): where you live
e.g. Our relationship is mother and
e.g. 151 West St. Columbus, Ohio, USA
daughter.
10021.

• employee (noun): a person who works

• last name (noun): your family name
for a person or company
e.g. Mary Louise Smith, "Smith" is the
e.g. I am an employee of ABC Company.
last name.
Learning Points

The Indefinite Articles A and An

We use a before nouns that start with consonants.

We use an before nouns that start with vowels (a, e, i, o, u).

Examples with ‘A’ Examples with ‘AN’

A friend. He is an active person.

She completes a form. She doesn't get an invitation to

the meeting.

I am a new employee at the office. I see an eagle out the window.