Title *

First name *

Last name *

Date of birth *

Nationality *

First language (mother tongue) *

Address *

Occupation

Company name

Company web site

Email *

Telephone number *

Special needs Do you have any special needs that we should know about? (for example, disabilities, allergies, dietary requirements, medical conditions, etc.)

Please tell us which courses you would like to do.

Group courses 1-week intensive (1-week, 6 hours per day)
2-week intensive (2-week, 6 hours per day)

Individual courses 1-week intensive (by request)
2-week intensive (by request)

Learn English and Enjoy Learn English - Play Golf
Learn English - Play Tennis
Learn English - Special Events
Learn English - Local Attractions
Other (please specify below)

Other specific requirements Please tell us if you have any other specific requirements.

Programme date from: DD/MM/YYYY *

Programme date to: DD/MM/YYYY *

English language level: Please indicate your English language level (1: basic – 6: advanced) I am able to have a basic conversation in English. It is not difficult for me to introduce myself and I can answer questions about my personal details. For example, I can describe the job I have, who my employer is and I can give some simple information about my home and family. If I want to communicate more difficult ideas or information I need someone to help me.
I can take part in conversations on various subjects about myself and my job if people speak slowly and clearly. I can welcome people and can act as a host in some social situations. I could make a short announcement to a group in order to explain an agenda and organisation of a social visit.
I need people to be patient with me when I am explaining quite complex ideas but I can manage it and I can usually participate effectively in discussions if other speakers are sensitive to the fact that I am not fluent. It helps if the conversation is about familiar topics. I am not completely confident about all aspects of grammar, vocabulary and/or pronunciation.
I am able to explain some complex ideas and can argue a point confidently. When it comes to managing more subtle or difficult situations my language is more limited, for example, in resolving a disagreement. I can understand and participate in conversations and discussions with some fluency and spontaneity on a range of business and general topics.
I do not have many problems in speaking English in most situations, including quite complex business contexts. I am an effective listener too and can apply this skill to understanding colleagues from a range of different backgrounds. I can influence and persuade individuals with a range of personality types and cultural backgrounds.
I am very confident with my English in any context and consider myself to be close to a native speaker.
*

Other aims or objectives Please tell us about other aims or objectives you may have.

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