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Online Enrollment

Please complete all sections.
NOTE: Should a section not apply to you, please mark with the letter O.

Personal Data

Name
Street Address
Apartment
City
State/Province
Zip or Postal Code
Country
Telephone
E-mail
Birth Country
Date of Birth
Gender

Education

Your Education College
University
Other
Degree(s) Granted
name of College / University

Employment

Current Profession and Duration

Employment History
(past 5-10 years if applicable)
Do you have any Previous Teaching Experience?

(If you have not mentioned this above, please explain what, where and for how long you taught)
Do you speak or have you studied a foreign language?

If yes and not mentioned above, please clarify
Are you a native speaker of English? YES
NO
If not, what is your native language?
Please note that if you are a non-native speaker of English, you will be required to have a telephone interview with one of our senior trainers prior to being accepted onto a course in order to verify your fluency.
Please briefly explain why you wish to take the Via Lingua TEFL course and your employment plans after you complete the course

Course Location(s) and Date(s)

Please state preferred course location(s)

Please only fill out the 2nd and 3rd-choice location boxes if you are prepared to consider placement at an alternative location should your first choice of course/centre be unavailable. 		1st choice
2nd choice
3rd choice
How did you find out about us?

In General - Housing

Name and Phone of Emergency Contact
Do you require housing ?

If YES, we will send you further details specific to you choice of location(s) 		YES
NO
Do you have a medical condition that might affect your performance on the course? YES
NO
If YES, please clarify
To secure a place on your chosen course, a deposit of Euro 275 is required. The deposit is part of and is deducted from the overall course fee with the balance payable when you arrive at your location.

Agreement

I have read and accept the terms and conditions

Via Lingua will meet all credit card transaction costs.
The reservation fee is deducted from the overall course fee and is in place to secure a place on your chosen course.

Thank you for enrolling on our course, we look forward to meeting you soon

  • For further information, please contact info@vialingua.org, call toll-free in the US (888) 835-6207 or in the UK (44) 203-004-0943.
  • To request an information pack either by email or regular mail, please use our infopack request form.
  • If you would like a member of our staff to call you at your home, at a time convenient to you, in order to discuss any particular queries you may have before making a decision about where and whether you take a TEFL course, please fill out a callback request form.
  • Apply here to enroll on a course today.