London, May 25th 2013

Student Exchange Form

Complete the form to be assisted by one of our education advisers.

Full name:

E-mail:

City:

Country:

Do you hold an european citizenship?
If yes, please specify:

Have you ever been abroad?

Please specify which country and duration of your stay:

Have you ever had a visa application denied?

If yes, please give details:

Have you ever been deported or had a visa cancelled out of your birth country?
If yes, please give details

Please give more details about your travel objectives:

if other, please, give details:

When would you like to travel?

What kind of course are you looking for:
 General English.For how long?
 Business English. For how long?
 IELTS preparation For how long?
 Cambridge preparation. For how long?
 Foundation Course. In what area?
 Professional Diploma. In what area?
 Graduation. In what area?
 Post-graduation. In what area?
 Master. In what area?
 Outro. Please, specify?

Do you hold an IELTS, Cambridge or TOEFL certificate?

Which one?
Please provide your scores:

What is your highest level of education

Start date:

Finishing date:

Qualification:

How did you hear about us? Please specify.

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