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Programmes for teachers, young students, adult learners and families
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Application Form

To register please fill in the form below. All fields marked with * are required.

1. Student's Personal Details


* Family name(s)  Surname(s)
* First name (Name)
* Date of birth
Day
Month
Year
* Sex
 Male     Female
* Country
* Home address
* City/Town
* Occupation
* Email
* Please, confirm email
* Mobile Phone
  Telephone
* Current level of English
 A1    
 A2    
 B1    
 B2    
 C1    
 C2    

 
 

2. Course


Intensive English with Cambridge Preparation FCE in DublinCHANGE COURSE
* Select place
* Start date (Monday)
calendar
* Number of weeks
    End date (friday): 

 
 

3. Type of Accommodation


 Accommodation
 Home Stay    
 Residence: self catering    
 No requested

 
 

4. Emergency Contact Details (in case a relative or friend should be contacted)


Person 1

If the student is under age youngster, the Person 1 has to be the legal tutor and give the consent for the use of his personal data.

* Name
* Relation
* Mobile Phone
   Telephone
* Email
 

Person 2
   Name
   Relation
   Mobile Phone
   Telephone
   Email

Note: It is advisable to schedule the arrival at destination on the previous day to the course commencement. An Airport transfer on Arrival and Departure can be arranged at additional fee.


*   I accept my data processing by English Matters, S.L.

English Matters, as responsible for the treatment of your data, follows a strict privacy policy. Therefore, it does not distribute the information to third parties, except legal obligation or in case the service involves the collaboration of partners schools. Your data will be used only to manage your request, billing and communications related to the service. You can access, correct or delete your personal data. You can consult additional and detailed information about data protection in our privacy policy.



All fields marked with * are required.


 

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