Applicant signature _______________________________________________________________________ Date ______________________________

TESOL Certificate Application Form

Method of Payment

Course options

Student information

YYYY / MM / DD

Fill-in the attached application form and return by:

e-mail to info@ilac.com

regular mail or by fax 

Course Dates: ______________________________________________________ Full Name: ________________________________________________________________________________

Address: _______________________________________________________________ Telephone #: ____________________________ E-Mail : ______________________________________

*University Degree: __________________________From:_________________________ Major: _____________________________ Date of Completion:_________________________

*NOTE:  Applicants without a university degree may be accepted, but will not qualify for TESL Canada professional certification

 

20-hr practicum option: Yes

English speaker: Native Non-Native

Non-native speakers must submit official documentation for one of the following:

TOEFL - CBT 213/PBT 550 with TWE 5 and TSE 60

IELTS - 6.5 overall

MELAB - 85/ with a speaking test score 4

Can Test – Listening, reading, writing 5, Speaking 4.5

CAELS – Band 80 overall, with a min. of 70 in each of the writing & speaking

Method of payment for full tuition or deposit - Amount: $____________________________

• Minimum $100 non-refundable deposit required

• 50% tuition must be paid by the first day of the course

• Full and final payment must be made by the last day of the course

• Certification is contingent upon full payment of all tuition due

Credit Card Card Type and Number: ____________________________________________________________________________ Expiry Date: _________ / ____________

Cardholder Name: _______________________________________________________________

Tuition Rewards Program – graduate referred by: ________________________________________________

*10-hr practicum option: Yes

English speaker: Native Non-Native

Non-native speakers must have proof of English proficiency:

TOEFL CBT197/PBT530

ILAC High Advanced 1 Level

*NOTE:  Applicants who complete the 10-hr practicum will not 

qualify for TESL Canada professional certification.

 

Cheque (please send check in mail with application – payable to ILAC)

ILAC - INTERNATIONAL LANGUAGE ACADEMY OF CANADA

920 Yonge St. 4th Floor, Toronto, Ontario, Canada, M4W 3C7

Tel: (416) 961-5151 Fax: (416) 961-5988 or (416) 961-9267

Winner 2010/09/08/07

LTM Star English Language

School North America Top Language School

of the Year

Winner 2005

Reader’sChoice2005 

Winner!

EYE WEEKLY

Voted Best Language

School in Toronto

Winner 2010/09/08/07