Part Time Course Booking Form | Malvern House London

Name*

First Name Family Name

Gender*

Date of birth*

Nationality*

Contact details

Mobile Number*

Email Address*

Home Address

Address*

Country*

City*

Postal Code*

Emergency Contact Person (Relative/Friend)

Name

Relationship to You

Telephone number

Email

Do you have any Disabilities?*

Yes
No

Please Specify*

When do you want to study?*

Morning
Lunch-Time
Afternoon
Evening

Which course do you want to take?*

General English
English for Work
IELTS Exam Preparation

Start date*

How many hours do you want to study a week?*

2.5 hours per week
5 hours per week
7.5 hours per week
12.5 hours per week

How many weeks do you want to study?*

Do you have any specific requests for flexible study ? Please state:

We process personal information to enable us to: provide education, training and educational support services such as accommodation and travel to our clients. It is also necessary for us to ensure the Safeguarding of our students and maintain student welfare. In addition, this information is required for us to administer our school's property, maintain our own accounts and records and to support and manage our employees. Data is held, used and ultimately destroyed in strict accordance with The General Data Protection Regulation (GDPR) (EU) 2016/679. The full data protection policy can be found HERE

Part Time & Evening English Booking Form

Contact details

Home Address

Emergency Contact Person (Relative/Friend)