Clinical English Language Training Course Application Form

Thank you for your interest in applying for Clinical English Language Training.  We are seeking applications from those who are interested in English language training.

This short application form confirms your personal details, your english language proficiency and your eligibility.

We recommend you use a current, up-to-date Internet browser such as Chrome, Edge, Safari or Firefox when completing your application form. The application may not submit on older devices or browsers.

Please fill in your details


    Personal Details


    First Name *

    Last Name *

    Current Address Line 1 *

    Current Address Line 2 *

    Current Address Line 3

    County *

    Eircode/ Postal Code

    International code for mobile

    Mobile Number *

    Confirm Mobile Number *

    Email Address *

    Confirm Email Address *

    Nationality


    English Language Proficiency


    Did you previously sit an IELTS/OET exam? *

    Please select the exam/s you have previously undertaken *

    Please provide details of your exam results/ overall score *

    Please rate your level of English on the *CEFR (Common European Framework)? *

    The CEFR Levels are available here
    A1A2B1B2C1C2

    Please rate your level of English on the *CEFR (Common European Framework)? *

    The CEFR Levels are available here
    A1A2B1B2C1C2


    Eligibility Criteria

    Only applicants who are in receipt of relevant documentation can apply. Please see FAQs.


    Please select the statement that best matches your status: *

    Please select your Health and Social Care Profession *

    Please confirm the following *

    Only applicants who are in receipt of relevant documentation can apply. Please see FAQs.



    Please select your Dental Discipline *

    Please select the statement that best matches your status *

    Only applicants who are in receipt of relevant documentation can apply. Please see FAQs.

    Please confirm the following *

    Only applicants who are in receipt of relevant documentation can apply. Please see FAQs.


    GENERAL DECLARATION

    It is important that you read this Declaration carefully.

    Declaration: “I declare that to the best of my knowledge and belief there is nothing in relation to my conduct, character or personal background of any nature that would adversely affect the position of trust in which I would be placed by virtue of my selection for Clinical English language training. I hereby confirm my irrevocable consent to the College of Anaesthesiologists of Ireland (CAI)* to the making of such enquiries, as the CAI deems necessary in respect of my suitability for undertaking Clinical English language training in respect of which this application is made.

    I hereby accept and confirm the entitlement of the CAI to reject my application if I have omitted to furnish the CAI with any information relevant to my application or where I have made any false statement or misrepresentation relevant to this application.

    Furthermore, I hereby declare that all the particulars furnished in connection with this application are true, and that I am aware of the qualifications and particulars for Clinical English language training for my given discipline/ profession. I understand that I may be required to submit documentary evidence in support of any particulars given by me on my Application Form. I understand that any false or misleading information submitted by me will render me liable to automatic disqualification.”

    Please Enter Your Signature

    (using mouse or finger control)

    Failure to sign this declaration at application will render it invalid.

    *The College of Anaesthesiologists of Ireland (CAI) are the body administrating the Clinical English Language training on behalf of multiple disciplines.