NEW STUDENT Form
Please fill out this form so I can create a syllabus (a learning program) for you.
Email address *
Phone number *
Your answer
Full Name *
Your answer
How many lessons do you want per week?
What days / times do you want lessons?
Your answer
For our online lessons, please indicate which Communication App you have. *
If you have Zoom, what is your Zoom address?
Your answer
If you have Skype, what is your Skype contact info?
Your answer
When did you last take an English course? What was your level?
Your answer
Why is learning English important for you now?
Your answer
What have you done so far to reach your English goals?
Your answer
What is your job? (If you are a student, what do you study?)
Your answer
What skills do you want to improve in this course?
In what situations do you WANT or NEED to speak English?
What themes would you like to study in the course? (check all that you like)
Are you interested in doing English homework outside of class? Check all that you want.
Do you need extra help from the teacher outside of class time? For what?
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