English Language Institute - Seneca College

English Language Institute
Application Form: Teaching English as a Second/Foreign Language
PERSONAL DETAILS
TITLE MR. MRS. MISS MS
SURNAME or FAMILY NAME
GIVEN or OTHER NAMES
CURRENT ADDRESS
COUNTRY:
CITY:
POSTAL CODE:
PERMANENT HOME ADDRESS
(If different from above.)
TELEPHONE - HOME
TELEPHONE - WORK
E-MAIL
COUNTRY:
CITY:
POSTAL CODE:
SEX (Please√ ): M F DATE OF BIRTH: YEAR MONTH DAY
FIRST LANGUAGE
CITIZENSHIP
COURSE(S) APPLIED FOR
COURSE TITLE SUBJECT CODE YES
START DATE
MONTH YEAR
1. TESL 1 ELI 317 □
2. TESL 2 ELI 321 □
ACADEMIC RECORD (Please provide transcripts)
HIGHEST ACADEMIC CREDENTIAL RECEIVED
YEAR RECEIVED
NAME OF COLLEGE / UNIVERSITY
ADDRESS OF COLLEGE / UNIVERSITY

FEEDBACK
How did you learn about Seneca College and this particular program? Check all that apply.
□ Newspaper ad □ Flyer □ Electronic sign □ Former TESL Student □ TESL Ontario website / certification coordinator
□ Seneca’s website □ Family or friend □ Other:
Please answer the five questions on the attached sheet.
FREEDOM OF INFORMATION AND PRIVACY NOTIFICATION
The personal information collected on this application is collected under the legal authority of the College and Universities
Act, Regulation 640. The Information is collected for the purpose of statistics gathering for research and reports within the
colleges, the Ontario Ministry of Education and Canadian non-government agencies. For further information regarding
this collection, please contact the Director, International Education at Telephone:
(416) 491-5050 or Fax: (416) 492-9243.
APPLICATION PROCEDURE
Mail the Seneca College “Application Form”, the written answer sheet and proof of post-secondary education.
TO:
English Language Institute
Seneca College of Applied Arts and Technology
1750 Finch Avenue East,
Toronto, Ontario, Canada
M2J 2X5
Phone / Fax / Website: Tel.: (416) 491-5050 extension 2780
Fax: (416) 492-4928
Website: www.senecac.on.ca/tesl
I am enclosing (please √ ):
□ Application Form
□ Written answers to the five required questions
□ Transcripts of Post-Secondary Education
□ Transcripts to follow
□ Application Fee $50 non-refundable
DECLARATION
I declare that the above information is true and complete. I understand that any false or incomplete information submitted
in support of my application may invalidate my application and result in the withdrawal by Seneca College of a place,
which may be offered, and that this withdrawal may also take place at any time during my enrolment.
I authorize Seneca College to obtain any details relating to my academic record at the institutions listed previously in
order to enable my application to be considered.
SIGNATURE: _________________________________________
DATE:______________________

ENGLISH LANGUAGE INSTITUTE
STUDENT APPLICATION FORM
NAME: ___________________________________________
Please answer the following questions. Use complete sentences. Do not use point form.
1. Please describe your educational background in a paragraph of about 100 words.
2. How would you describe your English skills? State your strengths and weaknesses.

3. Please list any other languages you speak.
4. Describe any personal experiences or skills that might enhance your ability to teach
English as a second language.
5. Why do you want to take this course?