Overseas Teacher Refresher Application Form
Personal Details
Family Name(s): _____________STOLERU___________ First Name(s): ______________PAULA MIHAELA_____________ Nationality: _____ROMANIAN________ Date of Birth: _____30.07.1980_______ Ms
Private Address: _________4 C.D. GHEREA street, C1, apartment 4,DOROHOI, 715200, BOTOSANI, ROMANIA _________ Telephone / Fax: ________004/0741.137.060________________ E-mail: ______michelle2005ro@yahoo.com______________ Name and address of a family member: AGAPIE STEFANICA, 8 BLD. VICTORIEI street, A7, apartment 14, DOROHOI, 715200, BOTOSANI, ROMANIA my mother How did you hear about British Study Centres? _______________from the Comenius Grundtvig Course catalogue ________
Course Details
There are three courses available: TRC Primary - Primary Teachers Refresher Course TRC - Advanced Language Teaching and Methodology CLIL - Content and Language Integrated Learning I would like to enrol on the following course : Please mark your choice with a next to the course and dates that you require. TRC Prim 5: 8/11/10 19/11/10
TRC Prim A 8/2/10 19/2/10 TRC Prim B 8/3/10 19/3/10 TRC Prim C 6/4/10 16/4/10 TRC Prim D 19/4/10 30/4/10 TRC Prim 0: 24/5/10 -4/6/10 TRC Prim 1: 5/7/10 16/7/10 TRC Prim 2: 19/7/10 30/7/10 TRC Prim 3: 2/8/10 13/8/10 TRC Prim 4: 16/8/10 27/8/10
TRC 0: 24/5/10 -4/6/10 TRC 1: 5/7/10 16/7/10 TRC 2: 19/7/10 30/7/10 TRC 3: 2/8/10 13/8/10 TRC 4: 16/8/10 27/8/10 TRC 5: 8/11/10 19/11/10
CLIL 0: 24/5/10 -4/6/10 CLIL 1: 5/7/10 16/7/10 CLIL 2: 19/7/10 30/7/10 CLIL 3: 2/8/10 13/8/10 CLIL 4: 16/8/10 27/8/10 CLIL 5: 8/11/10 19/11/10
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British Study Centres, Oxenford House, 13-15 Magdalen Street, Oxford OX1 3AE Tel: +44 (0) 1865 246620 Fax: +44 (0) 1865 246857
Accommodation
Would you like us to find accommodation for you? X YES please find me accommodation. I understand that if I change the accommodation found for me, I must give one weeks notice or one weeks rent instead of notice.
NO I do not need accommodation. What type of accommodation do you prefer? (for details please see Course Dates & Fees sheet) Please put 1 for your first choice and
2 for your second choice - in case your first choice is not available.
1 Homestay, single room half-board Student House, single room self-catering Superior residence, single room self-catering (August only)
Homestay, single room breakfast only
Homestay, single room self-catering Residence, single room self-catering
Please answer the following questions which will help us find you the most suitable accommodation: Do you smoke? Do you have any allergies? Are you taking any medication? Do you have special dietary requirements? Would you like a family with children? Do you want a family with a pet? X Dont mind X Dont mind X No X No X No No No No Yes Yes. What are they? Yes What is it? X Yes What are they? I dont eat fish Yes Yes (Most families have pets)
Airport Transfers
Do you want a transfer? From the airport when you arrive: Flight no. Arrival time Date To the airport at the end of your course: Flight no. Departure time Date: Yes (Please give flight details) No Yes (Please give flight details) No
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British Study Centres, Oxenford House, 13-15 Magdalen Street, Oxford OX1 3AE Tel: +44 (0) 1865 246620 Fax: +44 (0) 1865 246857
