Preliminary Assessment Form

Please complete and submit this form so that our consultants can assess your situation and advise you with the best possible study option.

Name
D.O.B.
Gender	Male Female
Marital Status	Please select Single Cohabiting Married
Address
Telephone
Your email
Course to apply
Qualification(s)
Date(s) acquired
Profession
English Language Level	Please select Beginner Elementary Pre-Intermediate Intermediate Upper-Intermediate Advanced
Who pays for you?	Parents Yourself Sponsor (specify)

English Language Qualifications
IELTS	Score: Date:
TOFEL	Score: Date:
Other

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