To select a course for you outside the database
( request for a manual search)

 


Use this form to send us your requirements and ask us to select a proposal for you

N.B! By sending us this form you are asking us to conduct a search by hand specifically for you. This could take some days. If you go to fill in our databank questionnaire, you will have the answer at once, and will see the offers on your screen instantly, with the prices. That is most often the quickest way to get the information you seek



Applicant's details
( If your language does not use the European/Latin alphabet, please copy your first name and family name exactly as they are written in your passport )

*First Name
* Family name
* Full and complete postal address (where we can send you the brochure)
* Nation
* Telephone (home):
Telephone (work)
Fax (if you have one):
* Occupation
* Email
If you do not have email, write in the box “none” and we shall contact you by post or telephone or fax .
* I reached the Independent English website by:- (at least one of the following four fields must be filled )
  
Search engine (please tell us which one):
Clicking a link from another site (which site?):
I saw your advertisement (where?):
On the advice of a friend or acquaintance (if you can, please tell us who)
Sex: M F

Your company

Company name
Type of business
Website
Address
Nation
Applicant's position in company
Is my company sponsoring me for all or part of the course costs? YES NO

Your requirements for selecting your course

Your current level of English (your own approximate estimation of your current level of knowledge of the English language):

 ...... My date of birth (day/month/year) (*)

Your preferences

We need to know your preferences, and to know which of them are more important for you, and which are less important. You will give us your preferences when you answer this questionnaire.
Then, think, which of the preferences that you have expressed are absolutely indispensible for you. Next to each of these, write the number 1 in the box on the left.
And then, in the others, write 2, 3, 4, etc, in order of less and less importance.
If, in any question, you leave all the choices blank, we will assume the question is of no importance for you and that you will accept any of them.
If a low price is one of your most important preferences, then express few preferences! The more items you leave blank, the more likely it is that we will find you a course with a low price that you will like.



N°
 I want the classes of my course to have a maximum of participants
 and a minimum of (**) hours, and a maximum of (**) hours per week (** indicate at least a minimum or a maximum)

I would like a combination of the group course with individual hours per week

I want my course to last (*) weeks,

 and to start on Sunday (day/month/year) (*) (*)
.............. ..... or Sunday (day/month/year

at a school in (* indicate at least one nation):

ENGLAND

SCOTLAND
IRELAND
MALTA
USA
NEW ZEALAND
AUSTRALIA
CANADA
SOUTH AFRICA



in the locality
(indicate if you wish one or more localities, or type of locality)

Specific content for the course (*)