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


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

Personal Details


Last name

Home Address


Phone number


Do you require a visa for the UK?



Next of Kin details



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:

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.




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



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?


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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