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Tailor-made English courses registration form

Please complete the information below and we'll contact you soon about your proposed English course.

Click here if you require further details about tailor made courses before completing the form.

Note fields with an asterisk * must be completed before the form can be sent.

Personal details

Full name

*

Occupation

  

Company or organisation

  

Email address

*

Telephone number

  

Fax number

  

Postal address

*

Date of birth

  

Sex

  

male
female

Request details

Your mother tongue e.g. Mandarin

Your language level in English

none 
beginner
elementary
intermediate
advanced

How long have you lived in anglophone countries? (in years)

How long have you studied English? (in years)

Purpose of English course

Preferred starting date: day, month, year

Number of weeks (1 minimum)

Number of hours per week of study

Preferred location

Tuition

1:1 (individual)
group tuition

Type of English course

general
business
technical
exam 
cultural 
medical

Skills focus (tick those most important)

speaking
reading
listening
writing
study
research

Language focus (tick those most important)

grammar
spelling
vocabulary
pronunciation
fluency

Business skills focus (tick those most important)

meetings
negotiations
presentations
telephoning
business letters
socialising/networking

Other requirements

Recreation or leisure activities required

Accommodation type: host family, tutor's home or hotel;  single or double room

Other information

How did you hear about Lingualearn?


I do not wish to receive occasional newsletters


Thanks for your request.  We aim to deal with most requests within 7 working days.
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