To book a course, simply complete our application form or download a copy.

 

Personal Details:

Surname:

Married/Single:

Fornames:

Date of Birth:

Profession:

Male/Female:

Country of Origin:

Address:

Postcode:

Telephone Number:

Fascimilie:

Email:

Course of Programme Applied for:

Course:

Dates:

Travel:

Arrival Date:

Arrival Time:

Departure Date:

Departure Time:

Method of Travel:

Do you Require an Escort Service ?

Student Information

Please list all medical conditions or allergies and any treatments or medications:

Special Dietary Requirements:

Do you smoke ?

How would you describe your personality ?

ShySociableIndependentAdaptableAnxious

Please list your favourite hobbies and amusements:

Study Needs:

How would you describe your level of English?

BeginnerElementaryIntermediateHigher- IntermediateAdvanced

What do you need English for: eg. work, travel, study

Are you preparing for an exam in English ?

Name of Exam:

Date of Exam:

Which skills do you need to practice the most ? (please tick as appropriate)

General spoken fluencyTelephone communicationGeneral writingBusiness writingReading general materials like books and newspapersReading academic books and periodicalsPronunciationVocabulary

If other please specify:

Do you enjoy talking/reading about ? (please tick as appropriate)

SportFilmsNatureArtClassical MusicCurrent EventsHistoryEducationCustomsPop Music

If other please specify:

How did you hear about Mercator ?

 

To help us prepare your teaching programme, please write a page in English about any subject that interests you. You could write about yourself, your aims in learning English, your interests or about a holiday you have enjoyed.

Do not worry about spelling or making mistakes – it is not a test but rather a useful way of finding out how we can best help your progress your English.

To return a hard copy, send it along with your short composition to the address at the top of the page.

Booking and cancellation Policy:

Non-refundable booking fee                £150

30 days before the start of course         100%

15-29 days before the start of course      85%

7-14 days before the start of course       70%

1-6 days before the start of course         50%

No refund after the start of course

Notes:

  • Full course fees are payable 4 weeks in advance (please see separate sheet for bank details and methods of payment).
  • We recommend that you insure yourself against loss, damage and personal injury prior to travelling. All medical costs not covered by mutual agreements between the UK and other countries are the responsibility of individual students.