Certificate in Primary English Language Teaching (CiPELT) application

Which course are you applying for?

CiPELT (READY, STEADY & GO)

CiPELT (STEADY & GO)

Full Name

Paulo Alexandre Almeida Tavares

Name of Grupamento, School and Town

Grupamento: Agrupamento do Bonfim

you are currently working at:

School: EB 1 Corredoura

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

Cycle 1

English teaching experience (in years)

Do you have at least one year of English

teaching experience in 1 CEB?

Yes
( Atividades de Enriquecimento do Currculo)

English language qualification & date

Qualification: Licenciatura, Professores do Ensino bsico, Variante

Portugus/Ingls

(Requirement: CEFR level C1+)

Town/City: Portalegre

Date: 24th June 2004

Do you need to do Aptis for Teachers?

No

Date of Birth

9th March 1980

(Day, Month & Year)

Full postal address

Rua Lus Path Bloco 6 2 esq.

7300-037 Portalegre

Telephone

245 203 754

Mobile

963855331

Email address

pazolo69@msn.com

Explain why you want to do this course

(Minimum 50 words)

Signature & Date

Signature: Paulo Tavares

Date: 07/01/15

(Type your name in UPPER case)

I confirm that I have access to a PC and that I have good computer skills for this course.

(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.

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and the right to ask us to correct any inaccuracies in that information. If you want more information about this, please contact your local

Routes to excellence

British Council office at www.britishcouncil.pt/en/about/send-enquiry or the Data Protection Team at

dataprotection@britishcouncil.org, or visit our website www.britishcouncil.org/privacy-cookies/data-protection