Free Easy Intake Form: The English Center
Welcome to the free, no obligation intake form! This form takes less than 5 minutes to complete. Thank you for sharing your information with us. We will contact you soon about English language training options that are right for you!
Email address *
Is this English training for you or someone else? *
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If the training is not for you, give us their name here
Your answer
The training will focus on (choose all that apply)
Do you want intensive or weekly English training? *
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Do you have a job? Or do you go to school? Tell us.
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What is your age? *
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What is your native language *
Your answer
Did you take an English Center test yet? *
Required
Do you know your CEFR level? *
Required
Why do you want to improve your English? You can say, "for my job," "for travel, "for a test,", etc. *
Your answer
Do you prefer day or evening training? *
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What are the best days of the week for you to study? Please check all that apply.
Do you prefer group or private training? *
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Which location do you prefer? *
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Tell us more here. Is there anything else we should know?
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First Name *
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Last Name *
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Telephone *
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A copy of your responses will be emailed to the address you provided.
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