Enquiries
ATTENTION! 6MB download size!
Personal Details - All fields marked * are essential and must be completed.
 
Title
First Name*
Family Name*
Date of Birth*
Company
Address for Correspondence*
 
City/Town/Region/State*
Postal/Zip Code*
Country*
Fax 
Telephone*
Email*
Native Language 
Married/Single
   
Course Details
   
Individual Programme G120
Starting on (date)
Finishing on (date)
   
Open Small Group OSG20  
May 09 - 13 2005 June 06 - 10 2005
July 11 - 15 2005 August 01 - 05 2005
September 05 - 09 2005    
please ask about other possible dates
   
Corporate Package CPG
Please give details here and we shall reply:
   
Travel Details
   
   
If you are unsure about how you will travel, please notify ACCENT as soon as your travel arrangements are known.
 
 
If you would like information to assist you with your journey please tell us what you need to know.
   
Accommodation Details
   
I would like the following accommodation: Executive Home Stay
Hotel Room at Woodbury Park
If 'other', please give details
   
Do you smoke? Yes No
   
Do you have any allergies? Yes No
If you do suffer from any allergies please tell us about this
   
Do you need a special diet? Yes No
If 'Yes', please give details
   
Golf Details
   
Handicap
Experience
Membership of Club
   
Payment
   
How will you pay your fees?
If 'other', please give details

 

 Needs Analysis Questionnaire

This questionnaire is designed to help us plan your course and select or design suitable course materials for you. Please complete the questionnaire yourself. Think about each question carefully and then write short answers. Do not worry about writing correctly!

Background
Please write two or three sentences about your job, your responsibilities and your company.

Experience with English
Please write two or three sentences about your experience of using English. For example: Have you had lessons recently? Do you use English regularly? Where and when do you study English now?

Needs for English
Please write two or three sentences about why you need to improve your English and about the situations where you will need to use English in the future.

Level of English
Please complete the following to help us assess your level of English:
   
SPEAKING
LISTENING
READING
GRAMMAR
VOCABULARY
WRITING
Pre-Enrolment Level Assessment (Optional)
  I would like to complete the questionnaire


If you are unsure about your level or would like us to check it, please complete the optional short questionnaire (5-10 minutes) which will appear when you submit this form if you have checked the button above.

I have read the general regulations of Accent International and the regulations relating to English and Golf and agree to abide by these. I am forwarding a deposit of £250 per person.