Kenilworth Language Institute
Accommodation Information
Course Details
Personal Details
Additional Information
Family Name:
First Name:
Sex:
Nationality:
Date of birth:
Occupation:
Home Address:
Contact Telephone:
Email Address:
Accommodation:
If you want to stay in Host Family Accommodation - do you have any special dietary requirements?
Do you have any allergies?
Any additional information, special needs or requirements etc?
Do you require Airport Transfer on your arrival?
How did you hear about Kenilworth?
Payment of Fees
Fees:
Course Duration: 1 week/1 months etc
Do you have any special reason for learning English? (e.g. for work)
Are you interested in preparing for a specific exam? If so, please specify.
Arrival Date:
Course:
What is your present level of English?
How long have you studied English?
