Enrolment Form
(Please complete both sides)
Choose
your location, course and dates
Regent School: ❏ Bournemouth ❏ Brighton
❏
Cambridge
❏
Edinburgh
❏
London
❏
Oxford
Please choose your course:
❏
English World 33
❏
IELTS Exam Preparation
❏
English World ClasSIX
❏
English World Combination ❏ IELTS Combination
❏
English World ClasSIX 10
❏
English World 22
❏
Cambridge Exam Preparation FCE
❏
English World ClasSIX 15
❏
Arts, Literature & Culture
❏
Cambridge Exam Preparation CAE
❏
Legal English ClasSIX
❏
Cambridge Exam Preparation CPE
❏
English for Leadership
❏
Home Tuition 25
❏
Home Tuition 20
❏
TOEFL
❏
Home Tuition 15
Additional one-to-one hours per week?
❏
5 hours per week ❏ 7.5 hours per week
Course start date:
Course finish date
Choose your accommodation
If you choose a residence, please write 1st and 2nd choices
❏
Homestay single room ❏ Homestay en-suite ❏ Hotel ❏ Residence 1st
2nd
Accommodation start date:
Accommodation finish date:
Please tell us about any special requirements (eg: disability, allergies, diet)
Do you smoke? ❏ Yes ❏ No
Would you prefer non-smoking accommodation? ❏ Yes ❏ No
What is your level of English?
❏
Beginner ❏ Elementary ❏ Pre Intermediate ❏ Intermediate ❏ Upper Intermediate ❏ Advanced ❏ Very Advanced
Have you studied with Regent before? ❏ Yes ❏ No Which School?
When?
Transfers
Would you like a taxi transfer to your accommodation?
❏
Yes on arrival
❏
Yes on departure
❏
Yes on arrival and departure
❏
No
Arrival:
Airport/Station
Flight number
Date (dd/mm/yy)
Time
Departure: Airport/Station
Flight number
Date (dd/mm/yy)
Time
Documents by courier
We can send your documents to you by email, fax or post. If you would like them sent by international courier we charge £50.
❏
I would like my documents sent by international courier (£50).
Calculating
your fees
❏
I would like to pay the full fees ❏ I would like to pay deposit of £300 now and the full fees 30 days before the course starts
Course fee
Additional one-to-one lessons
Accommodation fee (except Home Tuition where accommodation is included in the course fee)
Transfer fee
Documents sent by courier fee
Total cost
❏
Individual 30
❏
Individual 25
❏
Individual 20
❏
Individual 15
30
Personal Details
(Please write in CAPITALS)
Family Name
First Name
Nationality
Occupation
Date of Birth
❏
Male ❏ Female Age
First Language
Second Language
How did you hear about Regent?
Who is paying for your course?
❏
Myself
❏
Parents
❏
Company
❏
Other
Name in Passport
Passport Number
Home Address
Email
Tel
Mobile
Fax
Address for invoice (if different)
Emergency Contact During Course
Relationship to student
English spoken ❏ yes ❏ no Tel
Email
Reason for studying
❏
Academic
❏
Professional
❏
Other
Name of your college/university (students)
Name of your company (professionals)
Method of Payment
(please tick)
❏
Cheque (UK £ Sterling only) ❏ Credit/Debit Card ❏ Bank Transfer ❏ Travellers Cheques/Cash
Cheque
(UK £ Sterling only)
❏
Drawn on British Bank made payable to Instill Education Ltd. Please write student’s name on the back of the cheque.
Credit Card
❏
Visa ❏ Mastercard
❏
I hereby authorise Regent to charge the deposit of:
£300
to my card
❏
I hereby authorise Regent to charge the balance of:
£
to my card 30 days before the course starts
❏
I hereby authorise Regent to charge the full amount of:
£
to my card now
Card number
0000
0000
0000
0000
Security Code
000
(last 3 digits on reverse of card)
Valid from
00
00
Expiry date
00
00
Name of cardholder
Address of cardholder
Signature of cardholder
Your agreement and signature
1. I have read and understood the Terms and Conditions.
2. I certify that all the information given by me in this enrolment form is accurate and complete.
3. If applicant is under 18, a parent or guardian must sign this form.
In doing so, the parent or guardian agrees to the Terms and Conditions.
4. I agree to the use of my personal information, including health and religious or dietary requirements,
set out in the terms and conditions. ❏ Yes ❏ No
5. I agree that you can send me occasional information about Regent Language Training courses and services. ❏ Yes ❏ No
Signature of student
Date
Signature of parent or guardian
(If student is under 18)
Date
31
Internationally recognised English language exams for academic and specific purposes
Exam
Level
Typically for
Available dates
IELTS
- International English
Language Testing
System
It is mainly used to show ability
from intermediate to advanced:
you receive a test report that
shows an overall score from 1
(non-user) to 9 (expert user).
Entrance into UK,
USA, AUS, NZ
universities but
is recognised by
academic institutions
all over the world.
Every month
BULATS
- Business
Language Testing
Service
The BULATS test report shows
ability on the Common European
Framework for Reference from
A1-C2 (beginner to advanced).
Worldwide business
and industry
recruitment.
On demand in the
school
TOLES
- Test of Legal
English Skills
There are two TOLES exams
we recommend: TOLES Higher
(Intermediate level) and TOLES
Advanced (Advanced).
Entrance into
international
commercial law firms,
in-house legal teams
in private companies
and top-class
translators.
25.08
TOEFL
- Test of English as a
Foreign Language
The iBT test shows your ability on
a scale of 1-120. Each section,
Reading, Listening, Speaking and
Writing, is scored out of 30 and
combined to give your total score.
Entrance into English
speaking universities
and academic
and professional
institutions.
Every month
Cambridge English Exams:
• Cambridge English:
First (FCE)
• Cambridge English:
Advanced (CAE)
• Cambridge English:
Proficiency (CPE)
FCE: An upper intermediate
exam that tests your ability
to deal confidently with a
range of written and spoken
communication situations. Exams
are held at least once a month in
the UK and the rest of the world.
Level B2
CAE: An advanced exam that
tests your ability to communicate
with confidence in English for
work or study purposes. Exams
are held every month in the UK
and the rest of the world.
Level C1
CPE: A very advanced level exam,
for learners who have achieved
a high level of language skills.
Exams are held in March, May,
June, July, October, November,
December in the UK and the rest
of the world.
Level C2
Entrance into English
speaking educational
institutions,
businesses and
supporting
immigration
applications.
FCE
04.03; 10.03; 03.06;
06.06; 24.06; 27.07;
24.08; 28.11; 09.12
CAE
01.03; 11.03; 03.06;
07.06; 24.06; 20.07;
25.08; 29.11; 02.12
CPE
11.03; 08.06; 02.12
Regent Language Training
info@regent.org.uk
+44 (0) 1865 258 338
www.regent.org.uk
www.regent.org.uk
Regent
at Stowe
2017
Regent Language T
raining
Dynamic Residential Camp
for Children and Teenagers
Residential Camp
for Children and Teenagers
summerschools@regent.org.uk
www.regent.org.uk
Regent Language T
raining
Teaching
English
as a
Life Skill
Courses for
Teachers
2017
www.regent.org.uk
English
Courses for
Professionals
2017
Regent Language T
raining
Courses for Teachers
teachers@regent.org.uk
Courses for Professionals
professionals@regent.org.uk