EFL APPLICATION FORM 2010/11 - Faap

EFL APPLICATION FORM 2010/11
Please return this application form with your payment and one passport-sized photograph to:
EFL Administrator, University of Westminster, 32-38 Wells Street, London, W1T 3UW, UK.
T: +44 (0)20 7915 5401; F: +44 (0)20 7915 5492
E: efl@westminster.ac.uk westminster.ac.uk/efl
Please write your name clearly on the back of the photo and attach it to the enrolment form.
(minimum age for courses: 18 years)
Please complete all sections, printing in block capital letters.
Family name(s):
First Names:
Permanent Address (home country):
Male Female
Nationality:
Telephone Number:
Email address:
London Address (if applicable):
Emergency contact person:
Emergency contact number:
Disability: Y/N (if yes please describe)
Date of birth: day month year
Do you require a letter of enrolment for visa purposes?
Yes No
If yes,which type of visa are you applying for?
Student Visitor Visa Adult Student Visa
(For more information on visas, please go to:
westminster.ac.uk/international
Where did you find out about about our English Language Courses?
British Council agency our website friends teachers
other:
Please write on the form below all the courses you wish to enrol on
Course payment details
attach photo here
Please indicate below the total course fees you are paying.
Total course fees: £
Now please tick how you will be paying:
Cheque (see page 22) Bank Transfer (see page 22)
Credit Card (see below) Debit card (see below)
For credit/debit card payment only
Please charge my Visa/MasterCard/Switch/Maestro (Please circle)
Card number:
Issue number (Switch/Maestro only):
Valid from:
Expiry date:
Name of cardholder:
Signed
Total course fee amount paid: £
Student tick box:
Have you enclosed one photo with your name, printed on the back?
payment details – have you signed?
Have you photocopied this form AFTER you have completed it?
Check list (For office use only)
Fully enrolled? Module entered? Joining instructions sent?
Visa letter? Sent to finance
Title/code Dates Length (weeks) Cost

EFL APPLICATION FORM 2010/11
PLEASE COMPLETE BOTH SIDES
Follow-on Summer School
25 July – 5 August 2011 1EFL493 Two weeks £360
ENGLISH LANGUAGE FULL-TIME
13 September 2010 – 17 June 2011 1EFL412 34 weeks £6,120
13 September – 10 December 2010 1EFL407 13 weeks £2,340
CERTIFICATE OF SPECIAL STUDY IN SPEAKING SKILLS
13 September – 22 October 2010 1EFL483 Six weeks £1,080
20 September – 9 December 2010 1EFL416 12 weeks £865
25 October – 10 December 2010 1EFL4A5 Seven weeks £1,260
17 January – 7 April 2011 1EFL417 12 weeks £865
10 January – 15 April 2011 1EFL409 14 weeks £2,520
SUCCESSFUL SPEAKING
4 May – 16 June 2011 1EFL4A6 Seven weeks £455
10 January – 25 February 2011 1EFL408 Seven weeks £1,260
28 February – 15 April 2011 1EFL410 Seven weeks £1,260
3 May – 17 June 2011 SEFL001 Seven weeks £1,190
INTRODUCTION TO ACADEMIC SKILLS
27 September –1 December 2010 SEFL005 Ten weeks £480
ACADEMIC ENGLISH INTENSIVE
30 August – 9 September 2011 1EFL414 Two weeks £540
24 January – 30 March 2011 SEFL006 Ten weeks £480
4 May – 15 June 2011 SEFL007 Seven weeks £290
IELTS ENGLISH FULL-TIME
13 September – 10 December 2010 1EFL499 13 weeks £2,340
CAMBRIDGE EXAM COURSES
10 January – 15 April 2011 1EFL497 14 weeks £2,520
12 October – 2 December 2010 1EFL422 Eight weeks £335
3 May – 17 June 2011 1EFL498 Seven weeks £1,190
25 January – 17 March 2011 1EFL423 Eight weeks £335
3 May – 9 June 2011 1EFL424 Six weeks £250
ENGLISH FOR BUSINESS
IELTS (ACADEMIC MODULE)
Standard afternoons
20 September – 27 October 2010 1EFL473 Six weeks £430
4 October – 8 December 2010 1EFL4A2 Ten weeks £420
1 November – 8 December 2010 1EFL474 Six weeks £430
24 January – 30 March 2011 1EFL4A1 Ten weeks £420
17 January – 23 February 2011 1EFL470 Six weeks £430
4 May – 8 June 2011 1EFL4A8 Six weeks £210
28 February – 6 April 2011 1EFL471 Six weeks £430
SUMMER SCHOOL COURSES
3 May – 8 June 2011 1EFL47B Six weeks £430
11 July – 5 August 2011
Standard evenings
5 October – 8 December 2010 SEFL002 Ten weeks £600
English Language and Cultural Studies 1EFL405 Four weeks £720
25 January – 30 March 2011 1EFL47D Ten weeks £600
Adventures in Writing Four weeks £720
3 May – 8 June 2011 SEFL004 Six weeks £360
Business English 1EFL466 Four weeks £720
Pronunciation, Presentation and Speaking Skills Four weeks £720
Standard Summer School
11 – 22 July 2011 1EFL476 Two weeks £360
8 – 26 August 2011
8 – 19 August 1EFL478 Two weeks £360
English Language and Cultural Studies Three weeks £540
Adventures in Writing SEFL008 Three weeks £540
Intensive Speaking 1EFL436 Three weeks £540
IELTS (ACADEMIC MODULE)
Follow-on afternoons
1 November – 8 December 2010 1EFL481 Six weeks £430
Academic English 1EFL404 Three weeks £540
English for Film and TV 1EFL463 Three weeks £540
28 February – 6 April 2011 1EFL480 Six weeks £430
English for Law 1EFL460 Three weeks £540
3 May – 8 June 2011 1EFL492 Six weeks £430
English for Theatre Studies Three weeks £540