North West Academy

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Booking Application Form

Title

Surname

First Name(s)

Sex

Date of Birth

Address

Country

Nationality

Passport No.

Section 2: Contact Details

Phone

Fax

Section 3: English Language Skills

How long have you studied English?

Your highest level qualification in English

Choose from the below options which best suits your level of English [Common European levels have been included to help you]
Complete Beginner	Beginner (A2)	Pre-intermediate (B1)	Intermediate (B2)	Post-intermediate (C1)	Advanced (C2)

Section 4: Details of Course Selected

Which course would you like to study?

For more information on our courses click here

When would you like to start?

How long would you like to study?

Section 5: Marketing Information

How did you learn about the North West Academy?

If you learnt about it on a website, which one?

Additional Notes
If you have more information or questions you can add it here.

All our courses are inclusive of:

• Information packs with maps, tourist information and social programme information.
• Access to student welfare room, library and computer suite.
• Self-study programme.
• North West Academy certificate of attendance.
• 24 hour emergency contact number.
• Student support service.

Section 5: Terms & Conditions

Before submitting your application please read and agree to our terms and conditions where you can also view our accepted payment methods.

Click the box if you have read and accept the terms and conditions.

Human confirmation test

Please answer the simple question below so that we know you are a human being and not a computer/robot/spambot.