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 (*)


( if your course is to be for “business/work” or other special purpose, please add here in the following space some more information on the nature of your interest and on the types of situation where you have to use English, like, for example, on the telephone, in meetings, to follow or hold lectures, to read documents, to write them, ecc).

Types of accommodation
I would like my accommodation (** indicate at least one of the five answers)

  With a local family chosen by the school
  In a university type residence
  In a hotel
  In a furnished apartment
  I already have my own accommodation in the locality indicated.


In a single bedroom In a double or twin bedroom In a multiple bedroom

With

 		    
  Bed and breakfast only Half.board Full board
I wish to have a private bathroom (for my exclusive use)  

I wish to have the use of a kitchen or cooking facilities

 

If you have any special requests for your accommodation, please write them here


N.B. N.B. N.B. Please do not forget to indicate the order of importance of your preferences, by writing the numbers in the boxes on the left of the above page

TERMS AND CONDITIONS

When you send us this request you will receive from us a proposal, with the price, and if you confirm your interest in this proposal we will send you the brochure of the relevant school, (or point you towards its website), without charge.

If you do decide to book a course at the school or schools illustrated in the brochure or on the website, you hereby undertake ( = promise) not to use any other intermediary or agency than Independent English Ltd to make any such booking.

If you choose to pay the school's fees through Independent English, we will charge you exactly the same fees as those published by the school itself, plus coverage of bank charges (GBP 14 if fees are in GBP, or GBP 19 if fees are in other currencies), plus our own booking assistance fee of GBP 28 (or € 40), or GBP 44 (or € 63) in the case of more complex bookings, (with a supplement of GBP 6/ € 9 for bookings outside Europe).

You can also use our assistance, and pay the school's fees directly to the school.

As an alternative, you also have the option of paying only the school's fees and of not needing to pay Independent English, if you book with the school directly and handle the enrolment procedure yourself; but if you do decide to enrol directly, you hereby undertake (= promise) to inform Independent English that you are doing this. Informing us that you are making a direct booking will not involve you in any extra cost, and you will enjoy the benefit that Independent English will consider you as one of our clients and will make our services available for any possible problem that may arise after you have started your course .

I have read and accept the conditions stipulated above.

Your personal details will be treated in accordance with the relevant laws.