| Name |
|
| E-mail address |
(Please make sure you register your e-mail address.) |
| Messenger address |
(If you do not have it no need to fill in.) |
| Telephone |
|
| Current Occupation |
(School name etc) |
| Citizen |
|
| Mother Tongue |
|
| You can speak (language) |
|
| Age |
years old |
| Sex |
Male Female |
| Current Address |
|
| Teaching Qualifications |
TESL TEFL Other |
| Experience of private lessons |
Yes No |
| Experience of online lessons |
Yes No |
| Reason you apply to this course |
|
| Computer Experience |
Can you type quite fast?Yes No
Have you ever used Windows Live Messenger or Skype?Yes No |
| Computer Environment |
Operating Sytem Windows Vista Other-
Do you have a web-camera? Yes No
Do you have headphones? Yes No
Do you have a broadband internet connection? Yes No
How fast is your broadband connection?
How often do you check your e-mail? |
| Please check your free time when you might want your course to take place
(If you are free from 1 to 2 o'clock on Monday, please check the box). |
Your local time zone (USA Eastern Summer time etc)
|