InterPress International House

Teacher Training Centre

Kurmangazy 33
050000 Almaty
Kazakhstan Insert a passport-
Phone: +7 727 2722 744 type photograph as
+7 727 2722 522 a jpg here-
mandatory
document.
E-mail: tt-centre@ihkazakhstan.com

Name and Surname (as on certificate, in printed letters) ___________________

Date of application _____________________________
____________________________________________________________________________________
APPLICATION FORM FOR CAMBRIDGE CELTA COURSES
*Please complete the form carefully and return it, having kept a photocopy for yourself.
____________________________________________________________________________________
I wish to apply for the Cambridge CELTA four-week full-time course

Preferred course starting date __________ (day) __________ (month) __________ (year)

1. PERSONAL DETAILS

Surname (Mr/Mrs/Miss/Ms) ___________________________________________________________________

First Name(s) ________________________________________ Nationality ___________________________

Date and Place of Birth ________________________________ First Language ________________________

Permanent address _________________________________________________________________________

Post Code __________________ Home tel: _____________________ Mobile phone______________________

Present Address (if different from above) _________________________________________________________

__________________________________________________________________________________________

Post Code __________________ Home tel: _____________________ Mobile phone______________________

Email address ______________________________________________________________________________

Present Occupation ______________________ Company Name_______________________________

Work address _______________________________________

Work Telephone Number ______________________________________

General Health _______________________________________

Phone number for emergency contacts: _____________________ Contact person _______________________

Email address for emergency contacts: _____________________ Contact person: _______________________

2. EDUCATION Please give details of Secondary and Tertiary Education (graduate and post-graduate)

Dates Institution Diploma/degree

3. LANGUAGE Which languages do you speak/read/write? Please comment on your level of proficiency.

4. TRAINING AND TEACHING EXPERIENCE

Do you have any formal training as a teacher? If yes, please give details below.

Do you have any experience of teaching?

a) English as a Foreign Language?

Dates Institution Details (levels, age groups, materials)

b) Other subjects?

Dates Institution Details (levels, age groups, materials)

What other work experience or professional training do you have?

5. REASONS FOR WANTING TO DO THE COURSE

On a separate sheet of paper outline your reasons for wishing to do the course and how it fits in with your plans
for the future, what you hope to gain from it and why you feel you would be a successful teacher of English to
Speakers of Other Languages. Write 300-400 words in essay form by hand.

6. REFEREES
Please give the names, addresses and e-mail addresses of two referees who would be prepared to give relevant
support to this application (one must be your most recent employer or academic referee).

Name Name

Position Position

Address and contact details (email/phone) Address and contact details (email/phone)
 7. OTHER INFORMATION
Please indicate any health concerns that may be relevant to your application.

Is there any other information you think is worth mentioning?

How did you hear about our course?

8. TERMS AND CONDITIONS

Conditions of Application

Acceptance onto the Cambridge CELTA course at InterPress IH Almaty is not guaranteed and is subject to
successful completion of the written application task, language test and an interview. Previous qualifications
and prior relevant work experience will not guarantee acceptance onto the course. Candidates must also
demonstrate that their level of English, both spoken and written, is suitable for the demands of the course, i.e.
CEFR level C1.

Please note that severe penalties are applied if plagiarized work is detected. These will range from loss of
marks to disqualification and a ban on re-entry for a period of up to three years.

Acceptance on a course does not mean a place has been reserved for you. A place cannot be reserved until a
deposit has been paid. The balance of the full fee must be paid no later than four weeks before the start of the
course. Deposits and fees are not transferable.

The course itself is very intensive. By submitting this application, you accept that in addition to the 120 contact
hours during the course, you will have to work at least further 80 hours in your own time during the course
(lesson preparation, assignments, observations of experienced teachers, etc.).

100% attendance is expected as there is little chance of making up days missed due to the nature of the
course. Any exceptions are made by the Main Course Tutor.

No refunds will be given should you withdraw from the course for any reason.
Certificates are issued by the Cambridge Assessment English and are forwarded to the centre in due course.

CELTA July-August 2020

The CELTA online course at InterPress IH will commence on Monday 13th July and finish on Friday 14th
August and it will be nice to meet you all online. It is important to note that this CELTA course will be
conducted online via the ZOOM platform. InterPress IH will provide the participants the shared licensed Zoom
account for Teaching Practice, and you will be given training in week one to ensure you are comfortable with
using it. To participate in the input sessions, you will need to have a registered free Zoom account. You will
be provided with the instructions on how to install Zoom and create an account in the system. You will
therefore need to have a computer with an internet connection, camera and microphone.

Please note:
It is the trainee’s responsibility to provide your own computer equipment with a good internet connection so
that you can access the CELTA course. There is no full or partial reimbursement of the course fee for the
Trainees due to technical and/or internet access failure.
The whole CELTA online course will be recorded by the CELTA trainers. This procedure takes place in order
to provide the recorded sessions to the Trainees who missed these in case of technical issues. By signing
this document, you grant your permission to be recorded during the whole CELTA online course.

We look forward to welcoming you to our online CELTA course.

I have read and understood the conditions of the application.

Signature __________________________________ Date ______________________________________