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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

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