First name *
Family name *
Middle name
Date of birth (dd-mm-yyyy) *
Street and house number *
City *
Postcode *
Country *
Email *
Phone 1 *
Phone 2
Name of contact person at home in case of any problem
Phone number of person at home
Please tell us if you have any medical issues, disabilities, psychological or emotional issues you think we should know about
What date do you plan to start your course?
What date do you plan to finish your course?
What is your current level of English? A1 A2 B1 B2 C1 C2Or: Lower intermediate Intermediate Upper-intermediate Advanced
Would you like some 1:1 lessons for specific reasons? Yes No I’ll decide later
How many hours in total during your stay? (Minimum 5)
We will plan your 1:1 lesson timetable before you arrive. Lessons will usually take place mid-afternoon. If you want to change your timetable after you arrive, we can discuss this with you in person. Focus of 1:1 lessons (you can tick more than one box): Extra General English, tailored to my needs IELTS Cambridge FCE Cambridge CAE Business English English for Academic purposes
Other/notes
If you would like to add some Language Academy courses – extra English or courses in other languages, or one of our specialist courses, please book these separately at: www.language-academy.uk
You can only take a Language Academy course if you are booked onto an English Naturally course. You can book one or more of these courses after you arrive, if you prefer.
You can stay in our accommodation for a few days before your course starts, but you can’t stay once you have finished your course with us. You can leave your accommodation before the course finishes, but you need to tell us where you are staying. I need accommodation I will organise my own accommodation
Accommodation details: I would like Standard accommodation I would like Prestige accommodation
The first night I need accommodation is
The last night I will need accommodation is
(You can arrange to stay longer if you wish – talk to us after you arrive, once you have decided)
I have the following dietary requirements: Vegetarian Coeliac Other (please specify):
We will give you instructions on how to get to Winchester by public transport from any airport/station/port, but you can book a taxi if you prefer.
I would like an airport transfer
Date
Flight number
Arrival time
Airport
Airline
Do you require a short-term study visa? Yes No Not sure, please advise me
If yes for 6 or 11 months? 6 months 11 months
Nationality
Passport number
Country of issue
Expiry date
I have read your terms and conditions * Yes
Please see our terms and conditions.
English NaturallyMint YardThe SquareWinchesterHampshire UK SO23 9EX
Tel: +44 (0)1962 859700
Email: info@english-naturally.com
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