Certificate in Primary English Language Teaching (CiPELT) application

Which course are you applying for? CiPELT (READY, STEADY & GO) CiPELT (STEADY & GO)

Full Name

NIF (Tax number)

Address (Street name and House number)

Postal code / Town (e.g. 1249-062 Lisboa)

Telephone

Mobile

Email address

Date of Birth (Day - Month - Year)

Name of your School School: Town/City:

Age Taught (Cycle 1, 2, 3 or Secondary)

English teaching experience (in years)

Do you have at least one year of English Yes / No (Delete as appropriate)

teaching experience in 1º CEB? (“Oferta Complementar” or “Atividades de Enriquecimento do Currículo”)

English language qualification & date Qualification:

(Requirement: CEFR level C1+) Date:
Do you need to do Aptis for Teachers test? Yes / No (Delete as appropriate).
Explain why you want to do this course
(Minimum 50 words)

Signature & Date Signature: Date:

(Type your name in UPPER case)
I confirm that I have access to a PC; the Internet and I have good computer skills. (Please tick)

I have attached a scanned copy of my English language qualification with this application.

 We reserve the right of admission if teaching qualification or experience does not meet the course requirements.
 We reserve the right to cancel a course if the course does not reach a normal quorum of 12 participants.
 Course fees will be refunded if the course is cancelled by the British Council. No refunds will be given after the course
has started. No refunds will be made to participants who have attended any part of the course.

The British Council will use the information that you are providing to process your CiPELT course application.

The British Council may wish to use your information to send you details of British Council activities, services and events (including
social events) which you might find of interest.

Yes, I would like to be sent details of British Council activities, services and events. Please contact me by email.
Under UK Data Protection law you have the right to ask for a copy of the information we hold on you, which we may charge a fee, and
the right to ask us to correct any inaccuracies in it. If you want more information about this, please contact your local British Council

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