Rose of York

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:

Address:		Telephone:
		Fax:

Post code:

Address Details in England (If different):

Address:		Telephone:
		Fax:

Post code:

Level of English: Please evaluate your English level by choosing one of the options below.

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.

Take the Rose of York Placement Test Online! (Only for students who will enrol)

PART 2 - COURSE DETAILS:

When do you want to begin your course? (dd/mm/yyyy)

How many weeks do you want to study?

General English:

Full time English (15 hours/week)

What time would you like to study English at Rose of York?

9:00 - 11:45am 12:15 - 3:00pm 3:15 - 6:00pm 6:30 - 8:30pm

Other Courses:

Full time Business English (15 hours/week) 12:15 - 3:00pm 3:15 - 6:00pm

Cambridge First Certificate/Advanced Certificate exam (15 hrs/week) IELTS exam 9:00-11:45am 12:15-3:00pm
Part time Business English (6:30pm-8:30pm) Part time IELTS (6:30pm-8:30pm)

Combination course: _______________________________________________

If you would like to study Intensive English at Rose of York, tick 2 of the boxes below :

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

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:

Method of payment:
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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