Enrolment form
(individuals and closed groups from one organisation):

Personal details

Title

Surname:

First name (s):

Nationality:

Mother tongue:

Organisation/Company/Unit:

Organisation/Company Activities:

Job title:

Job Description:

Contact details

Address:

Telephone:

Email:

Fax:

Web:

Course Selection

Preferred course dates: Month/Year/Duration

Your English needs:

Where have you studied English?

School Higher Education (college, gymnasium etc.) At work

For how long?

Give details of any examinations passed:

Your level of English:

Beginner Pre-intermediate Intermediate Advanced

For how long?

Tell us about your needs in English. Which areas do you particularly need to improve, eg writing skills, giving presentations, negotiating etc:

What is your required level of English? (Please describe this or indicate it by, for example, a level on the European framework).

Special requirements

Do you have any special requirements for your course? Do you have any special hobbies or interests which you would like us to help you with.