BILC: Student Application Form

spinning hat Student Application Form

Please tell us about yourself and what you would like to study. Fill in the form below and send to The College. You must type into the red fields.

We will contact you in a few days.

Personal details

Title: First name: Last name:
Sex: MaleFemale Age:
Nationality:

Health

Do you have any illnesses? No Yes If yes, please explain:
Do you have any allergies? No Yes If yes, please explain:

Food

What are your favourite foods?
Do you have a special diet? No Yes If yes, please explain:
Are you a vegetarian? No Yes

Home Address

Town: Country:
Home address:
Home telephone:

Like and dislikes

Do you like cats? No Yes
Do you like dogs? No Yes
Do you like young children? No Yes
Do you like to smoke cigarettes? No Yes

Languages

What is your first language:
What is your second language:

Hobbies and interests

Occupation details

Name of your company:
Your job:
Fax number:
Telephone number:
Email address:
URL:

Your English language level is:

Beginner
Intermediate
Advanced

How much your course will cost:

Number of lessons per week group tuition:
Number of lessons per week 1-to-1 tuition:
Do you want us to collect you from the airport? No Yes
Accommodation is 80 pounds sterling per week
Enrolment fee is 50 pounds sterling
*Remember that fees must reach The College 4 weeks before your course starts

Which special 1-to-1 subjects do you want to study?

Subject 1:
Subject 2:
Subject 3:
Subject 4:
Subject 5:
Subject 6:

When will your course start and finish?

Start on Monday: Day Month Year
Finish on Friday: Day Month Year

Application through an agent?

Is an agent helping you to make your application? No Yes
If, yes, what is the name of your agent?

How did you find us?

How did you like our Internet site?