Tellus House, Bedford Park Villas, Plymouth PL4 8HL 
Tel: +44 (0)870 903 3007 Fax: +44 (0)870 137 1149

 
   
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Plymouth English Centre Enrolment Form
ENROLMENT FORM
Your Details  
Family Name:  
First Names:  
Date of Birth:  
Nationality:  
Mother Tongue:  
Address:  
Email Address:
Tel No. (home)
  (work)
Fax No. (home)
  (work)

About your English studies before coming to Plymouth
Have you studied English before  
for how long: Years/Months
when:  
Have you taken any examinations in English:  
If YES, the time and name of the examination:  
what is your English like now:  

About the course you want to have at the Plymouth English Centre
Type of course:  
Course dates: from  
to  
(Arrival date
& Departure date)
 
The number of lessons you want to have per week:
(1 lesson = 1 hour)		  
Type of tuition  

About Accommadation
Your Choice
If you have chosen host family, please answer the following questions:
Do you have any allergies or a special diet:
If Yes give details:
Do you like pet animals:
Do you like children:
Your hobbies and interests:
Do you have any wishes concerning the host family:

Send the information you have input into the form.

Clear all the form boxes.

 

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