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Trinity College London CertTESOL / Registration form

Personal Details

Name

Date of Birth

Nationality

Address

Telephone Number
 

Email

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: Spectrum Payment Services
Sort Code: 23-18-84
Account Number: 87512270
IBAN No.: GB72 BARC 2000 0013 5593 78
IBAN BIC No: BARCGB22

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