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Personal Details
Title: * Mr Mrs Ms Miss
First name(s): *
Surname: *
Date of birth (dd/mm/yyyy): *
Nationality: *
First language(s): *
Occupation:
Email: *
Phone: *
Fax:
Address: *
Do you know the contact details of your address in the UK? No Yes
Is your company paying for your course? No Yes
Your English
How did you hear about One to One English? *
Web Friend Agent Publication Other
Have you taken a course at One to One English before? * No Yes
What is your present level of English? *
Beginner: I don't speak or understand any English
Elementary: I can say a few basic things and understand short, simple conversations
Early Intermediate: I can understand simple conversations, and can speak a little (with mistakes) on most everyday topics
Intermediate: I can speak quite well on most topics, and understand the general sense of most everyday conversations
Upper Intermediate: I still make some mistakes, but I can speak quite quickly and confidently on most topics
Advanced: I can understand even complex topics, and speak fluently with few mistakes

Have you taken any of the following exams?
Cambridge KET Date: * Result: *
Cambridge PET Date: * Result: *
Cambridge FCE Date: * Result: *
Cambridge CAE Date: * Result: *
Cambridge CPE Date: * Result: *
IELTS Date: * Result: *
TOEFL Date: * Result: *
TOEIC Date: * Result: *
Other Examination: *
  Date: * Result: *
Are you studying English now in your country? * No Yes
Course Application
Please choose which course(s) you would like to apply for. *
If you are not sure which course is best for you, please contact us for help. Please click here for full Terms and Conditions of booking.
Max-6 Standard courses: Full-Time courses of 15+ hours per week in small groups
Max-6 Part-Time courses: Part-Time courses of 6 hours per week in small groups
1-1 Intensive courses: Full-Time individual 1-1 courses of 10 /15 / 20 lessons per week
1-1 Flexi-Time courses: Part-Time individual 1-1 courses of 1 to 5 lessons per week
Accommodation
Would you also like to book accommodation through One to One English? * No Yes
Airport Transfer
Would you also like to book an airport transfer through One to One English? * No Yes
Payment Details
How will you be paying for your programme? *
Bank transfer Credit card Sterling cheque Cash
PLEASE DO NOT MAKE ANY PAYMENT NOW.
If you wish, you may calculate here the cost of your programme. We will contact you shortly to check your booking details, to confirm the cost of your programme, and to request payment.
Registration Fee (£45): £
Course fees: £
Coursebooks: £
TOTAL CHARGE: £ click to calculate total
Sending Your Application
After ensuring that you have completed all relevant sections and that you have read and accept the Terms and Conditions, please submit your application form.
We will contact you shortly to confirm your booking.
I have read and accept the Terms and Conditions, and confirm that the details I have
provided are correct *
Are you the student named on this application form? *
Yes, I AM the student applying for this course
No, I AM NOT the student; I am completing this application form on the student's behalf
Do you want to send a message with your application form? No Yes
 
One to One English School London · 56, Long Acre, London WC2E 9JL
Tel: +44 (0)20 7379 1777 · Fax: +44 (0)20 7379 1888 · Email: info@onetooneenglish.co.uk		 © One to One English Ltd 2009. All rights reserved.
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