< Enrol for Individual English course in England
Tel. (+44) 3330 124 185 | Email: learn@the-white-apple.co

PRE-ENROLMENT FORM

To ensure that we place you with the right teacher and family please give us as much information you can.

Personal Details

Name

Last name

Home Address

Email

Phone number

Nationality

Do you require a visa for the UK?

YesNo


Occupation/Studies:

Next of Kin details

Name

Relationship

Contact tel. number

Course details

Type of Course:
(Please state what you need to specialise in):

1. General2. General plus3. Exam4. General/Business Combination5. Professional/Business
If you chose No. 3 please state Exam:

One-to-oneTwo-to-one
If Two-to-one please state the name of the other student:


(Each participant must complete a form)

Lessons (60 minutes)

15 hours a week20 hours a week25 hours a week30 hours a week

Dates(Sunday pm to Saturday am)
Start Date:


Finish Date:


Nº of weeks:

Prestige Option: (Private Bathroom supplement) YES/NO:

Special request:

I smoke cigarettes/cigars per day.
I do not smoke.I would prefer to stay with a non smoking family.

Interests and hobbies:



This is very important. We try to match you with a teacher/family with similar interests/hobbies.

Special remarks:


(dietary needs, illnesses, allergies, special likes and dislikes, etc.)

Location preference:

We always try to match you to your preferred location but compatibility with the teacher overrides choice of location.

1st



2nd



3rd


If not sure, choose from the following areas:
Southern EnglandLondonWest CountryHeart of EnglandCheshire/Yorks/Lake DistrictScotlandWalesIreland (Dublin Area)

Travel details

Airport transfers are not included in the course fees - price will be confirmed with your teacher/family details

On arrivalOn departureBothNone required

Flight Details

Arrival Airport:


Arrival Date:


Arrival Time:


Arrival Flight Number:

Departure Airport:


Departure Date:


Departure Time:


Departure Flight Number:

Academic details

Please indicate your existing knowledge of English:

0 = No knowledge: 1= Beginner: 2 = Elementary: 3 = Pre-intermediate: 4 = Mid-intermediate: 5 = Upper intermediate: 6 = Advanced: 7= Fully proficient

Written:


Spoken:

If you are not sure, please take our Online English Test

If you have studied English, state for how long:


What course books are you currently using?

Notes

Junior Supplement applies to under 18’s. Airport transfers obligatory on Junior courses.

PRICES: The prices are per student per week.

They include:

Full board family accommodation (for 6 nights);

Tuition for the chosen amount of lessons;

Use of published course materials;

Certificate of attendance Student helpline and Educational support

Prices exclude:
Airport welcome service, incidental expenses and insurance.

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