IH Madrid YLC application_2011

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					IH Madrid YOUNG LEARNER CERTIFICATE COURSE
IH Madrid VERY YOUNG LEARNERS COURSE

Application Form
Please complete this application form carefully and return it to:

Steven McGuire
Director of English Teacher Training
International House, Madrid
C/. Zurbano, 8
28010 MADRID
Spain

Please tick  your option
    1. IH Young Learner Certificate starting: January        April    October 
          or September intensive 

    2. IH VERY Young Learners Certificate course (3-6 year olds) starting May 




                                        PERSONAL DETAILS


Surname:
First Name(s):
Date & Place of Birth:
Nationality:
Present occupation:
Present Address:




Phone no.:
e-mail:
Permanent Address (if different from above):



                                             LANGUAGES

Which languages, including English, do you speak/read/write?
Please mention your level of proficiency:
                                         EDUCATION

Please list any relevant educational qualifications you may have.   Include details of degrees,
certificates, etc. and where they were taken.




                                    ELT QUALIFICATIONS

Which ELT qualifications do you hold? Please include names of certificates, diplomas, year and
institution where they were taken.
                                                             ELT EXPERIENCE
                                                  Please complete the table below with details

  Year            Country/ City/                            Ages/Type of classes taught                         Main books used
                      School
                  e.g. Spain
e.g.              Barcelona                   e.g. Taught mainly adults general English with                e.g. Headway, Project
1993-95           IH                          some business classes: Beginners to FCE + 1                   English, etc.
                                              class of 12 year olds




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  Signature:                                                                                            Date: