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NEW STUDENT Form
Please fill out this form so I can create a syllabus (a learning program) for you.
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Are you interested in lessons for yourself or for your child/children?
Lessons are for my child
Lessons are for me
Other:
Clear selection
Why is learning English important for you now?
Your answer
What is a comfortable lesson length for you?
30 minutes
45 minutes
60 minutes
90 minutes
Other:
Clear selection
What days / times do you want lessons?
Your answer
For our online lessons, please indicate which Communication App you have.
*
Zoom
Skype
I don't currently have one
Other:
If you have Skype, what is your Skype contact info?
Your answer
When did you last take an English course? What was your level?
Your answer
What have you done so far to reach your English goals?
Your answer
What is your job? (If you are a student, what do you study?)
Your answer
What skills do you want to improve in this course?
reading comprehension
listening comprehension
speaking
writing
grammar
vocabulary
pronunciation
Other:
In what situations do you WANT or NEED to speak English?
with the local community
at local shops
when traveling abroad
to meet people
in emergencies
at work on the phone
at work to speak in meetings and with clients
at work writing emails
Other:
What themes would you like to study in the course? (check all that you like)
Work
Travel
Food & cooking
Health & exercise
Culture
Sport
Politics
The environment
Entertainment
Other:
Are you interested in doing English homework outside of class? Check all that you want.
listening comprehension exercises
reading comprehension exercises
vocabulary review
writing exercises
Other:
Do you need extra help from the teacher outside of class time? For what?
email review & correction
CV & Cover Letter review & correction
Academic paper review & correction
homework correction
other document review & correction
Other:
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