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Please fill out this form to apply for the TRINITY COLLEGE LONDON LICENTIATE DIPLOMA IN TESOL course at St George International.

This page is secure. You may safely enter confidential information, including credit card details.

(If you wish to apply for the TRINITY COLLEGE LONDON CERTIFICATE IN TESOL, please use the Certificate enrolment form instead.)

Your details
Mr/Mrs/Miss
Family name
First name
Nationality
Mother tongue
Date of birth
Current employment
Home address
Postcode
Telephone (home)
Telephone (work)
Fax
E-mail
How did you hear about Saint George International?

Secondary Education
School
Subjects/Grades
Further Education / Training
(Please provide a copy of any certificate)
University/College
Qualification and date gained
Other (Please give details)
Current or last teaching position
Name of DOS / Academic manager are / were responsible to
... and who can support your application and verify that you are/were employed at the school N.B This is a requirement of the revised Diploma syllabus.
Name and full address of the school
E-mail
Telephone
Other referee
Please give one further referee to support your application
Name
Address
E-mail
Telephone
Languages Spoken
1=basic, 3=fair, 5=fluent
Language Oral Competence Written Competence
Please write briefly why you would like to take the DIPLOMA and why the Saint George’s Distance Training Programme appeals to you

Initial TESOL qualification
(Please provide a copy of any certificate)
Qualification
Training Institute
Date of Award
Grade
English language qualification (for non-native speakers)
(If you are a non-native speaker of English, please give your HIGHEST ENGLISH language qualification and provide a copy of the certificate)
Qualification
Training Institute
Date of Award
Grade
English teaching experience ( from past to present)
Institution/Country Dates Av. no. of contact hours Student age ranges and levels taught
From To
Start and examination dates
These do not become fixed dates for you. They are intended as a guide for us and a focus for you. Please give month and year.
When do you want to start your DISTANCE TRAINING PROGRAMME?
When do you want to do the final WRITTEN EXAM?
When do you want to do the PRACTICAL EXAMS & the PRACTICAL BLOCK?
How to pay
Once accepted on the course,
I wish to pay by

Credit card (You can enter the details below, or send them separately)
Sterling cheque
Payment by Bank Transfer to:
Svenska Handelsbanken AB (publ)
London Branch
Trinity Tower
3 Thomas More Street
London E1W 1WY
United Kingdom

Account Name: St George International
Account Number: 28859001
Branch Code: 40 - 51 - 62
Swift Code: HANDGB22
IBAN Number: GB32HAND40516228859001
Credit card type
Expiry date
Card number
Card security code
The card security code is the last three digits printed above your signature on the back of your card
Name of card holder
Address
Additional information?
Please add any extra information here
Please note: at or by the interview stage we will have to have seen originals of relevant qualification certificates or signed witnessed photocopies of relevant qualification certificates. A preferred witness would be your primary referee.

Thank you. Now please click the button to send your application to St George International:

 

 

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