TESOL Academy

1. PERSONAL INFORMATION

First Name *

Last Name *

Date of Birth

Gender *

National ID / Passport Number *

2. CONTACT DETAILS

Phone Number *

Email Address

Full Address / City / Province *

3. EDUCATIONAL BACKGROUND

Highest Degree Earned *

Field of Study

Teaching Experience

4. PROGRAM SELECTION

Preferred Program *

TESOL Certificate – Foundation

TESOL Certificate – Advanced

Teacher Training Workshop – General

Teacher Training Workshop – Young Learners

Classroom Management Workshop

Language Assessment & Testing

Methodology & Curriculum Design

Areas of Interest Preferred Mode of Attendance *

In-Person (Ahwaz) Online Hybrid

5. ADDITIONAL INFORMATION

How did you hear about us?

Questions or Special Requirements

6. DISCLAIMER & TERMS

I will attend all sessions, pay the course fee before starting, accept the non-refundable deposit policy, complete educational tasks, and receive feedback professionally.

I have read and agree to the terms. *

7. SIGNATURE & CONFIRMATION

Your full name *

Date

Signature