Washington, D.C.
International Language Institute
Teaching Languages since 1970
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Online Application for the TESOL/TEFL Certificate Program
* = required
I. Start Date:
Please select:
*
May 1-June 21, 2012: Tues & Thurs 6-9pm
June 26-August 16, 2012: Tues & Thurs 6-9pm
September 4-October 25, 2012: Tues & Thurs 6-9pm
October 30-December 20, 2012: Tues & Thurs 6-9pm
II. Student Information:
First Name:
*
Last Name:
*
Street:
*
Suite # / Apt. #
City, State, Zip code:
*
Home/Work Phone:
*
Cell Phone:
*
E-Mail:
*
Confirm E-Mail:
*
III. Refund Policy:
*
Yes, I have read and accept ILI's Refund Policy: Tuition is $1,750. After payment has been
made for the course, refunds will be issued in the amount of $1,600 up until the course
begins. Refunds will not be issued after the course begins.
No, I do not accept ILI's Refund Policy (your application will not be processed)
IV. Payment Information:
Please charge/invoice:
*
$1,750 tuition
$150 deposit only
Payment Method:
*
none selected
Credit Card
Check
Cash
Invoice my Company/Organization
Type of credit card:
none selected
Visa
MasterCard
American Express
Credit card number:
Expiration date:
Month [?]
1 (January)
2 (February)
3 (March)
4 (April)
5 (May)
6 (June)
7 (July)
8 (August)
9 (September)
10 (October)
11 (November)
12 (December)
/
Year [?]
2012
2013
2014
2015
2016
2017
Card ID (required):
more info
Credit card holder's name:
Street address of card holder's
billing address (required):
Zip code of card holder's
billing address (required):
Note:
ILI is currently unable to accept credit card payments on behalf of students from Ghana,
Nigeria, Cameroon or Kenya. Please pay via cash, check or money order.
V. Additional Information:
How did you learn about us?
*
none selected
Friend
Internet Search
Craig's List
City Paper
Phone Book
other
Briefly describe your related
experience:
*
* = required