CELTA
application form

CELTA Course Application Form

Name and surname*(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Health – do you have a history of any of the following problems? Mental health:
Anxiety
Depression
Physical health:
Diabetes
Epilepsy
Learning differences:
Dyslexia
Dysgraphia
We need this information to be able to advise you on the most appropriate course format and to provide any necessary support. For example, if you were diagnosed with dyslexia, you have the right to ask for an extension of assignment deadlines.

I consent to the processing of my personal data pursuant to articles 13 onwards of Reg. UE n. 2016/679 (GDPR) and of D.Lgs 101/2018 according to the privacy policy(Required)