Apply for an English Course

Family Name*

First Name*

Nationality*

Gender*

Male Female

Date of Birth*

Occupation

Address 1*

Address 2

City / Town*

Zip / Post Code*

Country*

Email*

Telephone*

Fax

How long have you
been studying English?

Please estimate your level of English ( 1 = beginner; 5 = good)

Oral

1 2 3 4 5

Written

1 2 3 4 5

How did you hear about Central School?*

Select British Council English UK Google Yahoo Internet Yellow Pages Friend Hot Courses Other

If other - please give details

Courses

(click here for course details)

Start Date*

End Date*

Number of weeks*

Please indicate the course you want to take*
Select ONE course choice only

General English

Select your course Intensive GEI Standard GES Semi-Intensive GESI

English for Business

Select your course Intensive BEI Semi-Intensive BESI

Combination Courses

Select your course General GES+5 General GES+10 General GESI+5 General GESI+10 General GEI+5 Business BESI+5 Business BESI+10 Business BEI+5

Examination Preparation

Select your course IELTS Cambridge First Certificate FCE12.5 Cambridge First Certificate FCE25 Summer First Certificate Skills FCS12.5 Summer First Certificate Skills FCS25 Cambridge Advanced CAE12.5 Cambridge Advanced CAE25

Academic Year Programme

Select your course Intensive AYI Standard AYS

Work Experience Programme
(please also choose one course
from above)

Select your course Professional Placement Hotel Placement

Please tell us any other details relevant to your course

Accommodation

(click here for details)
An Accommodation Arrangement Fee of £45 is payable for all accommodation bookings.

Would you like Central School of English to arrange your accommodation?

No Yes

If yes, please complete the following section. If no, please go to next section

Arrival date*

Departure date*

Number of weeks*

Do you smoke?*

No Yes

Would you like
a family with children?*

No Yes Not important

Please tell us about
any special requirements
eg. Allergies, pets, diet etc...

Standard Homestay Zone 3&4

Select Single/HB Single/5 Dinner Plan Single/B&B Twin/HB Twin/5 Dinner Plan Twin/B&B

Superior Homestay Zone 3&4

Select Single/HB Single/5 Dinner Plan Single/B&B Twin/HB Twin/5 Dinner Plan Twin/B&B

Standard Homestay Zone 2

Select Single/HB Single/5 Dinner Plan Single/B&B Twin/HB Twin/5 Dinner Plan Twin/B&B

Student House (self-catering)

Select Superior Zone 1, Single Superior Zone 1, Twin Superior Zone 2/3, Single Superior Zone 2/3, Twin Standard Zone 2/3, Single Standard Zone 2/3, Twin

All Year Residence

Select Nevern House, Single Int. Students House, Single Int. Students House, Twin Bowden Court, Single Bowden Court, Twin

Summer Residence

Select Int. Students House, Single Int. Students House, Twin Dinwiddy House, Single Schafer House, Single Hughes Parry Hall, Single Northumberland House, Single Northumberland House, Twin

Hotel or Apartment

Hotel Apartment

We will send you a list of our recommended hotels for you to choose from.

Please tell us any
other details relevant
to your accommodation
requirements

Please note that an accommodation arrangement fee of £45 is payable for all accommodation bookings.

Airport Transfer Service

Would you like Central School of English
to arrange a transfer from the airport
to your accommodation?*

No Yes

If no, please go to payment section below.
If yes, please complete the following

Airport :

Heathrow Gatwick Stansted Luton London City

Would you like Central School of English
to arrange a transfer from your accommodation
to the airport?*

No Yes

Payment

(All Transactions are Secure)

Fee Calculator

Course Fee

£

Accommodation Arrangement Fee

£

Accommodation

£

Extra nights accommodation

£

Airport transfer Fee

£

Bank Transfer fee

£

I would like to pay

The Deposit (course only) of £200.00

The Deposit (course & accommodation) of £245

The Total Fees
(required if booking less than 2 weeks before course start date)

I would like to pay by

Sterling cheque (drawn on a UK bank)

Credit card (not American Express) - please see terms and conditions

Credit card details

Cardholder's Name

Cardholder's Address

Card number

Expiry date

Security code
Last three digits on back of card

International bank transfer (+ £12 bank charge) to:
Account number: 38957706
Account name: The Language School Company t/a Central School
Bank: Fortis Bank NV-SA, 23 Camomile Street, London EC3A 7PP
Bank sort code: 40-52-62
IBAN: GB51GEBA40526238957706
Swift Code: GEBAGB22

Please fax copy of transfer document telling us your name and that you have enrolled at our website.

I have read and agreed to the terms and conditions of enrolment.