CELTA APPLICATION FORM

PERSONAL DETAILS
Surname: Other Names: Title:

Address: Skype:

Tel No (Home):

Tel No (Work):

E-mail address:

Date of Birth: Nationality:

First Language: Present Occupation:

EDUCATION AND QUALIFICATIONS

School/College/University Qualifications Obtained Dates

Other Relevant Qualifications

Knowledge of Other Languages (Please also specify your English level if English is not
your first language)
Language Level

Address Tel Facebook: https://www.facebook.com/ApolloTeacherTraining/

Hanoi :181-183-185 Pho Hue st., Hai Ba Trung Dist. (84-24) 7308 8666 Website: www.teachatapollo.com
HCMC : 282 Le Quang Dinh st., W.11, Binh Thanh Dist. (84-28) 7305 5567 E-mail: teacher.training@apollo.edu.vn

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 EXPERIENCE IN TEACHING ENGLISH TO SPEAKERS OF OTHER LANGUAGES
(Previous experience is not a requirement for CELTA courses)

Other relevant experience

PERSONAL STATEMENT
Please write why you want to do the course and why you feel you would be a successful teacher of
English to Speakers of Other Languages. (Please write approximately 150 words)

REFEREES
Name: Name:
Position: Position:
Address: Address:

When do you want to do the course?

Address Tel Facebook: https://www.facebook.com/ApolloTeacherTraining/
Hanoi :181-183-185 Pho Hue st., Hai Ba Trung Dist. (84-24) 7308 8666 Website: www.teachatapollo.com
HCMC : 282 Le Quang Dinh st., W.11, Binh Thanh Dist. (84-28) 7305 5567 E-mail: teacher.training@apollo.edu.vn

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 Which centre would you like to attend? (Please highlight or put a cross next to the box)

Hanoi (face-to-face)  Ho Chi Minh City (face-to-face)  Ho Chi Minh City (online) 

When are you available for interview (face-to-face and/or via Skype)? Please note that office
hours are 9am-5pm Monday-Friday, so it will not usually be possible to do an interview outside
of these hours. Please take the potential time difference into consideration too.

Where/how did you find out about CELTA at Apollo IH? (Please highlight or put a cross next to the box)

www.teachatapollo.com  www.teachvietnam.edu.vn  www.ihworld.com 

Cambridge website  recommended by someone  other (please specify below) 

Are there any health/personal factors that may affect your completion of the course? (If yes, it is
important that you let us know of any such conditions) (Please highlight or put a cross next to the box)

Yes  No 

Please send a copy of your passport and a recent photo in order to authenticate your identity,
which is a Cambridge English requirement.

Signature: Date:

Once completed, please return the application form and pre-interview task to Graeme Dunlop
(Teacher Training Manager) / Le Hoang Minh (Teacher Training Co-ordinator) at:

e-mail: teacher.training@apollo.edu.vn

address: Apollo Education & Training, 282 Le Quang Dinh street, Ward 11, Binh Thanh District,
Ho Chi Minh City, VIETNAM

Address Tel Facebook: https://www.facebook.com/ApolloTeacherTraining/

Hanoi :181-183-185 Pho Hue st., Hai Ba Trung Dist. (84-24) 7308 8666 Website: www.teachatapollo.com
HCMC : 282 Le Quang Dinh st., W.11, Binh Thanh Dist. (84-28) 7305 5567 E-mail: teacher.training@apollo.edu.vn

W H E R E T H E B E S T B E C O M E B E T T E R