PART 1 - PERSONAL DETAILS


Email Address:		First name:
		Family name:

Male Female

Date of birth (dd/mm/yyyy):

Nationality:

First language:

Job/Profession:

Age:

Address Details in your country (If you don't know some of the details please write n/a):

Address:		Telephone:
		Fax:

Post code:

Address Details in England (If you don't know some of the details please write n/a):

Address:		Telephone:
		Fax:

Post code:

Level of English: What level are you?

Beginner. I don't speak or understand any English.
Elementary. I can say a few simple things in English.
Pre-intermediate. I can speak and understand English in some situations but with many mistakes.
Intermediate. I speak and understand English in many situations but usually make mistakes.
Upper intermediate. I usually have no problems speaking and understanding but I still make some mistakes.
Advanced. I speak and understand English almost fluently and only make mistakes in unfamiliar situations.
Proficient. I speak and understand English fluently in everything but specialised areas.

PART 2 - COURSE DETAILS
When do you want to begin your course?		How many weeks do you want to study?

English for Life:

Full time English (15 hours per week)

9:00 - 11:45am 12:15 - 3:00pm 3:15 - 6:00pm

Small Group Intensive (9:00 - 3:00 pm)

Upper-intermediate Advanced

Full-time English (15 hours per week) + 5 hours of speaking per week

English+

Please tick the number of English+ lessons you would like to take

5 10 20 40 60 80 100

If you want to book your English+ lessons in advance please tick

English for Life Combination Courses

Full-time General English + English+ Full-time General English + Private lessons Full-time General English + Full-time General English

English for Work:

Small Group Business Intensive

9:00 - 3:00 pm

English for Young Professionals

Please note that to join the English for Young professionals students must be at least upper-intermediate level.

Higher (9:00 - 11:45 am) Vantage (3:15 - 6:00 pm)

English for Work combinations

English for Young Professionals + English+ English for Young professionals + Private lessons

Part-time Business English Course + Private lessons

Academic Business English Course (2 years)

Part-time Business English Course (6:30pm to 8:30pm)

English Exams:

Full-time IELTS exam

9:00-11:45am 12:15-3:00pm

English Exam Combination Courses

Full-time IELTS + English+ Full-time IELTS + Private lessons Part-time IELTS + Private lessons Part-time FCE or CAE + Private lessons

Part time Cambridge Examination Courses (6:30pm-8:30pm)

Part time IELTS Course (6:30pm-8:30pm)

Private Lessons:

Do you require One to One lessons? yes no

If your answer is "yes", please answer the following questions.
How many hours per week?
What times?
What days?

PART 3 - PAYMENT DETAILS

Payment Details:

Payment method:

Cash or travellers cheque Sterling cheque Bank transfer Click here for our bank transfer details

Do you need accommodation? yes no

If "yes", do you want the college to arrange accommodation for you? yes no

How did you hear about Rose Of York?

If you choose "an advertisement", please specify here

If you choose "other", please specify here

Please click here to view our conditions of enrolment I have read and accepted the conditions of enrolment yes no


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