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Course Registration Form
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Family Name
*
Your answer
Phone number (for WhatsApp)
*
Your answer
How do you identify?
*
Female
Male
Other
Prefer not to say
Other:
Country of origin
*
Your answer
First language
*
Your answer
Other languages
Your answer
Previous education
Primary
Secondary
College or University
Other:
Previous English course? Where? When?
Your answer
English level?
*
Pre-Entry / Literacy (Beginner)
Entry 1 (Elementary)
Entry 2 (Pre-Intermediate)
Entry 3 (Intermediate)
Level 1 (upper-Intermediate)
Level 2 (Advanced)
IELTS (English for Academic Purposes)
Don't know
Future Goals. Why do you want to join the course? (Choose as many options as you like)
*
To make friends
To help me with my daily routine
To communicate with English speakers when I go out
To understand English speakers better
To learn about British culture
To help my children with their homework and speak to their teachers
To improve my confidence
To get a qualification
To improve my job opportunities
To create an English CV
To help me search for and apply for jobs
To practise interview techniques in English
Because I'm bored and want a new exciting challenge
Other:
Required
What technology do you have for lessons? (You can choose more than one option)
*
Smartphone
Tablet / Ipad
Laptop
Computer
Landline phone
WhatsApp
Zoom
Skype
Google Hangouts
Required
What are your hobbies and interests?
Meeting new people
Cooking / Baking
Music
Art
TV / Films
Sports / Fitness
Animals
Sewing / Knitting
Reading / Writing stories
Cars / Motorbikes
Other:
How did you hear about this course?
Instagram
Facebook
From a friend
From a teacher/support worker
From another English class
From an organisation
Other:
Clear selection
Sometimes we will take a photo or video during lessons to use on our social media and/or website. We will always ask first and you do not have to say yes if you don't want to. Please choose an option below:
*
Yes, I am happy for photos and/or videos of me to be used as part of social media/website content.
No, I do not want photos or videos of me to be taken or used on social media/website.
Thank you for completing the form. We will contact you soon to give you details about your new course.
A copy of your responses will be emailed to the address you provided.
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