Cambridge Academy of English

Personal Details

Pick One

Male Female

Family Name

First Name

Email

Date of birth eg. 25/12/75

Age

Nationality

First Language

Home Address

Telephone

Mobile

Fax

Occupation / Profession

Do you have any disabilities, illness or allergy that the school should know about?

No Yes

Do you have any dietary needs (e.g. vegetarian or non-pork diet)?

No Yes

Do you smoke?

No Yes

Have you studied at CAE before?

No Yes

Course Details

I wish to enrol for:

	Small Group	from to Hours per week: 25

	5 plus 1 Combination	from to Hours per week: 30

	50:50 Combination	from to Hours per week: 25

	English for Lawyers Combination	from to Hours per week: 25

What is your level of English?

Please try and estimate your level of English by selecting where appropriate:

	Lower Intermediate (CEF:A2)	Intermediate (CEF:B1)	Upper Intermediate (CEF:B2/C1)

Speaking

Understanding

Reading

Writing

Professional Details

Please give your employer's details (if applicable):

Accommodation

1.		I would like standard homestay accommodation £125/€175 per week

2.		I would like homestay accommodation with private (en-suite) facilities £175/€245 per week

3.		I would like hotel accommodation £95/€133 - £140/€196 per night

4.		I would like hotel accommodation £140/€196 - £175/€245 per night

5.		I would like bed and breakfast accommodation £60/€84 - £70/€98 per night

6.		I will arrange my own accommodation

		Accommodation placement fee £60/€84 charged on 1-5. (All requested options subject to availability) N.B. For hotel and B & B bookings a credit card number will be required to reserve the room.

Transport

Will you bring a car or motorbike?	Yes	No

Will you want to hire a bicycle?	Yes	No

Planned Date of Arrival in England

Date		Airport

Flight No.		Arrival time

(If you do not have these details now, please inform us as soon as possible.) If you require a taxi service from the airport, please indicate below:

	London Heathrow (£140/€196)		London Stansted or Luton (£95/€133)

	London Gatwick (£150/€210)

How did you first hear of CAE?

	British Council	British Tourist Authority	Friend

	Teacher	Agent	Internet

Other, namely

Payment

We require a deposit of £200/€300 to hold your place on the course.
When we have received your enrolment form and deposit, we will send you a certificate of enrolment for your course (or return your deposit if the course is not available). The balance of your fees should be paid in advance, not later than two weeks before the start of your course.

I wish to pay for my course in £ €

Cheques in sterling drawn on a bank in the UK	Cheques in Euros

By bank transfer to:

Cambridge Academy of English Barclays Bank plc, Chesterton Road Branch, Cambridge, England. Bank code: 20-17-35, SWIFT: BARCGB22 £ payments to £ Sterling account: 60224421. IBAN: GB95BARC20173560224421 € payments to € Euro account: 76138655. IBAN: GB72BARC20173576138655

Credit card. If you choose to pay by credit card, you will need to fax us your credit card details. We will provide you with a fax form to fill in when you click the Enrol Form link below.

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