APPLICATION FORM

British Council Online Teacher Community CPD Course for PIIMA Teachers
Before filling in this form, please READ CAREFULLY the program descriptions and ensure you are eligible to apply!
Please, make sure you did not participate in the previous cohorts (in 2021-22 academic year) of this course. If you have already
participated, we recommend you NOT to apply! 

* Required

1. Name *

Sokhiba

2. Surname *

Imomova

3. Patronimic name *

Akromovna

4. Have you taken any course course on Online Teacher Community platform last year? if yes,
which course did you receive?
*

No
5. E-mail address. Please, make sure you are providing VALID, FUNCTIONING and
CORRECTLY SPELT email address which is used by YOU (NOT someone else!) as all further
communication will happen via email. In case you do not have an email address, please
create a new email address using this
link https://accounts.google.com/signup/v2/webcreateaccount?
flowName=GlifWebSignIn&flowEntry=SignUp
*

Imomovasohiba6@gmail.com

6. Please check and confirm that your email address is correctly spelt in the previous question.
*

I confirm

I do not confirm

7. Contact telephone number *

914388019

8. Additional telephone number

914388019

9. Which region are you from? *

Andijan region

Bukhara region

Fergana region
 Jizzakh region

Khorezm region

Namangan region

Navoi region

Kashkadarya region

Samarkand region

Sirdarya region

Surkhandarya region

Tashkent region

Tashkent city

Republic of Karakalpakstan

10. Your city/town/district *

Khatirchi

11. Which area are you from? *

Rural

Urban

12. School number and school address *

 Prezidential SPECIALIZED SCHOOL in Khatirchi district

13. How many years of experience in teaching English do you have? *

3-5 years

6-10 years

11-15 years

more than 16 years

14. What is the level of your English language proficiency? *

A1

A2

B1

B2

C1

C2

15. What qualifications/certificates (national or international) which evidence your English

language proficiency level do you have? 
*

APTIS

CEFR certificate from national testing centre

 IELTS

TOEFL

None

Other

16. Which grades in your school do you teach English? *

1-4 grades

5th grade

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

17. Do you have any experience of online learning? *

Yes

No

18. Have you ever participated in any continuing professional development courses? *

Yes
 No

19. Do you have access to a computer/smartphone and access to an internet connection to be

able to attend the course
*

Yes

No

20. Do you have basic IT skills (logging into your computer, browsing websites, checking e-
mails, posting in forums, etc)? 
*

Yes

No

21. Will you be able allocate appropriate time to take the course and be engaged in all course
activities described in the announcement program description part? 
*

Yes

No
22. Disclaimer and Application rules.
By applying for participation in the programme, participants agree to the rules and
undertake to comply with them.
1. Citizens of Uzbekistan who have reached the age of 18 years and older are allowed to
apply for the programme.
2. Employees of the British Council, their family members, relatives and persons living with
them are not allowed to apply for. The British Council reserves the right to request proof of
eligibility of a participant.
3. The British Council has the right to change the dates of the selection due to the
circumstances, without any prior notice to candidates.
4. The British Council will not consider responses received after the deadline or responses
that have not been completed in full.
5. The British Council reserves the right to exclude participants from the contest for non-
compliance with any of the rules set out in this document.
6. The British Council will use the information provided by you to process your responses.
The legal basis for processing your data is an agreement with our terms and conditions
set out in this document. 
7. The British Council complies with UK data protection legislation and relevant legislation
from other countries that complies with international standards. You have the right to
request a copy of your personal data that we have and to request correction of any
inaccuracies in such data. If you have any doubts about how we use your personal data,
you have the right to contact the relevant legal authorities.
8. For more information, please visit the Personal Data section on our website:
www.britishcouncil.org/privacy or contact your local British Council office. We will retain
your personal data for a period of 7 years from the date of receipt.
*

I agree

23. Now, after completing this form join our telegram group to get further instructions and
support.  Follow the link please, 
 https://t.me/+1cjcRswRNG85ODEy 

Thanks

You can print a copy of your answer after you submit

Go back to thank you page

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