English for Life TESOL Certification and Language Academy

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Registration Application

DATE

PERSONAL INFORMATION


Name
Address
City/State/Zip Code
Country
Daytime Phone
E-mail
Date of Birth (mm/dd/yyyy)
Male or Female
Best time to call for an interview
Start date of course you are interested in
City where course will be held
How did you learn about English for Life Academy?

PREVIOUS EDUCATION EXPERIENCE: List schools or programs you have attended beginning with the most recent, the degree or diploma received, and the subjects studied. Number each entry in the first field, then repeat that number as you move across and fill in the other two fields.

	School/Program	Degree or Diploma	Subjects Studied

EMPLOYMENT: Please list your employers beginning with your most recent position. Number each entry in the first field, then repeat that number as you move across fields.

	Employer	Employment Dates	Position Held

If not listed above, tell us about your previous teaching experience.

LIFE EXPERIENCE: List 3-4 job or life experiences you believe contributed to your abilities to be a great English as a Second Language teacher.

	Experience	When?	Skills Learned/Improved

Is English your first language or do you speak English fluently?

Yes

No

If English is not your first language or you do not speak English fluently, what was your score on the TOEFL or Michigan (MELAB) Test?

PLEASE WRITE 1 - 2 PARAGRAPHS about why you would like to be part of the TESOL Certification Program or any interesting learning experience you have had in your life that demonstrates why you are interested in this program.

You have now completed the ENGLISH for Life Registration Application form. Click ONLY ONCE on the SUBMIT APPLICATION button below. You will be taken to the ENGLISH for Life PayPal ordering process for the secure online payment of your TESOL Certification Course application fee.

PLEASE READ THE FOLLOWING PAYMENT INSTRUCTIONS CAREFULLY:

You have two PayPal payment options: #1 If you choose to use your Visa, MasterCard, American Express or Discover credit card, click on the button in the middle of the payment form following this line: "If you do not currently have a PayPal account, click here." #2 If you have an active PayPal account, fill in your email address and password and click the Continue button at the lower right hand side of the page.

Thank you for your interest in the TESOL Certification Program at ENGLISH for Life. We are excited about the possiblity of working with you in this fun and challenging program.


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