Application Form for English Language Course

First Name

Surname

Nationality

Date of Birth

Email Address

Phone Number

Are you contacting us as...

a student?

a parent?

Gender identity

ID Number / Passport Number

What course or courses are you applying for?

You can learn more about our courses by reviewing our brochure.

General English 20 Lessons

Intensive English 30 Lessons

Private Lessons

Group and Private Lessons

IELTS

Cambridge Exams

Erasmus Teacher Training: Discovering Classroom Technology

Erasmus Teacher Training: CLIL for Primary School Teachers

Erasmus Teacher Training: CLIL for Secondary School Teachers

Erasmus Teacher Training: An Exploration of Maltese Culture

General English - Evening Course

When do you want to start studying at EEC-ITIS?

When do you want to finish studying at EEC-ITIS?

What kind of accommodation do you require?

You can learn more about our accommodation options by reviewing our brochure.

None

Host family

Shared Apartment

Private Apartment

Hotel

How would you rate your current English level?

Beginner

Intermediate

Advanced

Why do you want to study English?

For fun

For work

For an English exam

To emigrate

To study abroad

Which skills would you like to focus on?

Listening

Reading

Speaking

Writing

Grammatical Accuracy

Vocabulary Range

Do you have one of the following special educational needs?

ADHD

Asperger's Syndrome

Autism

Dyslexia

Visual impairment

Hearing impairment

Other

None of the above

Please provide details of any special education needs we need to be aware of: