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INTERNATIONAL STUDY PROGRAMMESThe Manor Hazleton Cheltenham GL54 4EB
Telephone: 0044 1451-860379 Fax 0044 1451-860482Email: [email protected]
REGISTRATION FORM
Please return the form twice - once when you apply for the grant and again when you hear the result of your grant application.
PARTICIPANT INFORMATION
NAME:Dobre Marcela Date of Birth: 29 APRIL 1975
Sex: Female
NATIONALITY:Romanian
HOME ADDRESS:
Country:
No. 125, Sos. Bucuresti Street, Cazanesti, Ialomita
Romania
EMAIL: [email protected]
TELEPHONE: 0040 0723238921
COURSE INFORMATION
Please tick appropriate box PRE-PRIMARY TEACHERS OF ENGLISH
PRIMARY TEACHERS OF ENGLISH
SPECIAL NEEDS TEACHERS OF ENGLISH
× SECONDARY TEACHERS OF ENGLISH
TEACHERS IN ADULT EDUCATION (GRUNDTVIG)
BILINGUAL/SECONDARY CLIL
VOCATIONAL TEACHERS
HEADTEACHERS
OTHER (please specify – eg Music, Science etc)
LOCATION: SOUTHAMPTON - United Kingdom
DATES: Sunday 11 August – Friday 23 August 2013
COMENIUS REFERENCE: UK-2013-1852-001
PLEASE TICK AS APPROPRIATE:
× 1. I have applied to my National Agency for a Comenius/Grundtvig grant for this course
2. I have been awarded a Comenius/Grundtvig grant for this course
3. I do not intend to attend this course.
Teachers applying for a SECONDARY CLIL (BILINGUAL) COURSE please state here the subject(s) which you teach (or will teach) “bilingually” in English:
