2022 NEW Student Registration Form

ENGLISH LANGUAGE HOUSE

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2022 NEW STUDENT REGISTRATION FORM

Complete this form if are joining English Language House for the first time. Please make sure you read the terms and conditions and, if there is anything you do not understand, please let us know before you complete this form and make any payment.

If you are a student who is under 18 years old please complete this form with your parents and ask your parents to also complete the Parental Consent form.
If you need a student visitor visa to study English in England you must also complete the Visa Application Form.
If you need homestay accommodation please also complete the accommodation form.

2022 New Student Registration Form.pdf
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NEW STUDENT Registration Form

* Indicates required field

1) Who is completing this form? *

STUDENT INFORMATION:

2a) Name *

First

Last

2b) Email *

2c) Date of Birth *

If you are under 18 years old please tell us how old you will be when you start your course at English Language House.

2c/U18) Age at the start of your course: *

For under 18s only.

2d) Nationality *

2e) Address *

Line 1

Line 2

City

State

Zip Code

Country

2f) Landline Phone Number *

2g) Mobile *

2h) Occupation *

2i) What country are you living in now? *

2j) Do you need a visa to study English in England? *

If your answer is "yes" please also complete the Visa Application Form.

2k) Do you need help to find accommodation in Milton Keynes? *

If your answer is "yes" please complete the accommodation form.

2l) If your answer is "no" where will you live while you are studying English at ELH? *

COURSE INFORMATION:

See our English programmes and choose what you want to join:

3a) Which English programme would you like to join? *

If "other" please tell us what you would like: *

3b) How many weeks would you like to study? *

3c) When do you want to start? *

3d) When do you want to finish? *

3e) What type of lessons would you like? (tick everything that applies to you): *

Face2Face lessons Live Online lessons One2One lessons Group lessons

(Tick everything that applies)

If you want an exam preparation course please see the exam preparation programmes and choose what you want to join:

3f) Which exam preparation programme would you like to join? *

If "other" please tell us what you would like: *

3g) What days and times can you study? Are there any days and times that are impossible for you? *

ABOUT THE STUDENT'S ENGLISH LANGUAGE LEVEL AND NEEDS:

4a) What is your current level in English? *

"Tell us about your English".
Answer these questions and write your answers in the box below:

How long have you been learning English?
Where did you learn English?
How old were you when you first started learning English?
What did you enjoy about your English lessons?
What did you not enjoy about your English lessons?

4b) Tell us about your English: *

4c) Why do you need to improve your English? *

SPECIAL NEEDS - EMERGENCY CONTACT - CONSENT

SPECIAL NEEDS If you have any special needs that we need to know about, please tell us, so that we can help you if necessary. For example: a) you may have broken your leg and have to use crutches when you come to school, or b) you may have asthma and have to use your inhaler regularly, or c) you may suffer from hay fever, or d) you may be allergic to nuts or penicillin or e) you may be wearing a hearing aid and need to sit near the front so you can hear the teacher etc. If you tell us, we can make sure that ELH staff will know what to do if you need help and who to contact if there is a problem or an emergency.

5a) Student's Special Needs: *

EMERGENCY CONTACT
We need to know who we can contact if there is an emergency. Your emergency contact must be someone who is near you and who can respond and reach you quickly if there is an emergency.
If you are an adult ie 18 years old or over

please give us the name and contact details of a person we can contact who is close to you eg husband / wife / manager / friend / colleague etc.

If you are under 18 years old

please give us the name and contact details of your mother or father or, if you are not living with them during your course, please give us an alternative emergency contact we can use eg brother, sister, uncle, head of boarding at your school etc. Your mother and/or father must agree to this.

DETAILS OF MY EMERGENCY CONTACT:
In case of emergency please contact:

6a) Name: *

First

Last

[object Object]

6b) Address *

Line 1

Line 2

City

State

Zip Code

Country

6c) Email *

6d) Nationality *

6e) Phone Number *

6f) Mobile *

6g) WeChat *

6h) WhatsApp *

6i) Does this person speak English? *

Yes No Maybe

What is the relationship between this person and yourself? eg mother, father, brother, sister, uncle, boss at work etc

6j) Relationship between this person and myself: *

CONSENT FORM
WHY WE ASK FOR YOUR CONSENT:
ELH needs your consent to share information about you with others, to take and use photos of you and to arrange a basic tutorial for you. You can say "no" if you want. We will keep this information safe, we will share it with others if you have given us permission, or if we are required to by law. We will store it only for as long as is necessary for legal or regulatory reasons or for legitimate organisational purposes. PLEASE NOTE THAT if you give your consent for us to take and use photos of you, ELH may use these photos in our marketing material eg leaflets, brochures, website, facebook, twitter, instagram etc but we will never use your full name in connection with the photos.

British Council inspectors - ELH is Accredited by the British Council for the teaching of English and British Council inspectors sometimes come to inspect the school. When they visit they look at the way we work. They may look at student registration forms and student homework, they may talk to teachers, to Office staff and to some students. If you agree then we can show the inspectors your student file (which includes your Registration Form, Needs Analysis, Progress Reports, etc) and some of your work and homework. If you do not agree then we won't show your file, so we need to check with you that you agree.

7a) Can we show inspectors your student file? *

Photographs - We sometimes take photographs of the school and the students. Some students are happy to be in photographs, others are not. Please tell us if you agree that we can take your photo in a group with other students. We need your consent before we can include you in any photos. Tell us if you agree.
Publicity Photographs - If the photos are good we may like to use them in publicity, including putting them on our website We need your consent before we can use a photo with you in it, in our publicity or on our website. Tell us if you agree.

7b) Can we take photos with you in them and can we use the photo/s we take for publicity purposes? *

TERMS AND CONDITIONS - DATA PROTECTION - EMAIL & WHATSAPP

TERMS AND CONDITIONS
If you are an adult student please make sure that you read and understand the information in our ELH Terms and Conditions and our Terms and conditions for online bookings before you book and make any payment.
If you are a student who is under 18 years old please make sure that with your parents you read and understand the information in our U18s Terms and Conditions and our Terms and conditions for online bookings before you book and make any payment.

8a) Do you agree to abide with the Terms and Conditions? *

Personal Information Data collection, processing and storage
When you contact ELH we will collect and process your personal information so that we can assess your application to study with us, recommend suitable courses for you and, if you register with us, monitor your progress and language development while you are studying with us. We will keep this information safe, we will only share it outside ELH if we are required to by law and we will store it only for as long as necessary for legal or regulatory reasons or for legitimate organisational purposes.

I can email and ask ELH to delete my personal information at any time. ELH will delete this information so long as ELH is not required to keep it for legal or regulatory reasons or for legitimate organisational purposes.

ELH will collect, process and store my personal information.

8b) I understand that ELH will collect, store and process my personal information and I agree to this. *

Elh Gmail address and Group WhatsApp.

Before or shortly after you start studying, ELH will create an Elh Gmail address for you to use and a WhatsApp Group just for you. Your Elh Gmail address will be used by Elh staff to communicate with you about your lessons and to share material with you via GoogleDrive. The Group WhatsApp will be used by Elh senior management staff to message you about your course, update you about lessons and communicate with you quickly and efficiently if you have any questions to ask or problems you would like us to solve.

8c) I understand that ELH may set up an Elh Gmail address for me to use while I am studying at ELH and I agree to this. *

Yes, I am the student and I agree. Yes, I am an under 18 student and my parents and I agree. No, I am not the student and I cannot agree on his/her behalf. No, I don't agree.

8d) I understand that ELH may set up a Group WhatsApp for me to use while I am studying at ELH and I agree to this. *

Yes, I am the student and I agree. Yes, I am an under 18 student and my parents and I agree. No, I am not the student and I cannot agree on their behalf. No, I don't agree.

Are you under 18 years old?
If you are, does your mother and/or father know you are completing this form? Do they agree with your answers? Has your mother or father completed the parental consent form yet?

9/U18s) Tick all the answers that are true for you: *

I am an adult student and this does not apply to me. I am under 18 and my parents agree I am under 18 and my parents have completed the parental consent form I am "not the student" and I cannot respond on the student's behalf I don't agree

Do you plan to attend Face2Face in person lessons at English Language House? If you are, then we will need to see a copy of your passport to check that you allowed to study in the UK. You can upload a copy of your passport below or you can email us a copy to as an attachment or send us a copy via dropbox. You must make sure that we can see your name and date of birth clearly and, if you have a study visa, that we can see this clearly too.

10) Upload file *

Max file size: 20MB

Are you completing this form on behalf of a student?
If you are "not the student" and you are completing this form on behalf of the student please give us additional information here:

11a) If you are "not the student": What is your Name: *

First

Last

11b) If you are "not the student": What is your Email? *

11c) If you are "not the student": What is your telephone number? *

11d) If you are "not the student" What is your relationship with the student? *

How did you hear about English Language House? Did you google us or did a friend tell you? Did you use an agency, a travel website, a language course website or a search engine?

12a) How did you hear about us? *

12b) What is the name of this person/agency/site? *

I agree to receiving marketing and promotional materials

Submit

Thank you for completing the New Student Registration Form.
You can also pay the Registration fee now if you wish.

STAY IN TOUCH

English Language House can accept students who need a short term study visa of up to 11 month to study English Language in the UK.
English Language House is on the UK Register of Learning Providers: UKPRN number: 10030742
E L H LIMITED - Company registration no: 3965199

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