Conversation Class Registration - English Now

Two-Month Intermediate Conversation Course Course Registration Form

Welcome and thank you for choosing to register for our Two-Month Intermediate Conversation Course taught partially by a native speaker! We are excited to help you develop your English conversation skills and enhance your language proficiency. In order to be admitted and secure your spot in the course, please complete the form below with your personal information and preferences. We look forward to having you join our community of language learners!

Full Name^*

Full Name^*

E-Mail^*

E-Mail^*

Whatsapp Number^*

Whatsapp Number^*

Which country are you from?^*

Which country are you from?^*

Highest Education^*

Highest Education^*

Junior High School

Senior High School

Bachelor’s Degree

Master’s Degree

Ph.D

Your current English level.
If you don’t know your level kindly check your level here:
https://englishnow.co.id/placement-test/^*

Your current English level.
If you don’t know your level kindly check your level here:
https://englishnow.co.id/placement-test/^*

Basic (A1)

Elementary (A2)

Pre-intermediate (B1)

Intermediate (B1+)

Upper-Interemdiate (B2)

Advanced (C1)

Native-like (C2)

Tick the following statements that are true to you.^*

Tick the following statements that are true to you.^*

I will make sure that I join the Zoom sessions on time using a laptop or PC to get the best online learning experience.

I have a stable internet connection that will not interfere with my online session.

I understand that I will turn on my camera suring the session and that I will actively participate in class. I also understand that this meeting will be recorded.

I understand that this conversation class will only be offered to B1/B1+ Intermediate students at the moment with 20 students at maximum capacity.

I understand that the class recording and pictures may be used for promotional purposes.

What do you need English for in your real-life situations?^*

What do you need English for in your real-life situations?^*

Choose at least three topics that really interest you.^*

Choose at least three topics that really interest you.^*

Education

Traveling

Technology

Social and Environment Issues

Job

Money

Food

Past experience

Health

Personal Information

Describing Items / people

Sports

Family

Friends and Relationships

Leisure Time

Town and Country

Home

Sports

Culture

Mysteries

Other:

Your preference for language focus

Your preference for language focus

Grammar

Vocabulary

Pronunciation

Language Function / Discourse (e.g. agreeing/disagreeing, expressing opinion)

Your preference for language skill to develop

Your preference for language skill to develop

Listening

Reading

Writing

Other notes? Hopes/expectations for this course? (if any)

Other notes? Hopes/expectations for this course? (if any)

Payment Confirmation

Please Complete your payment

Please Complete your payment

Conversation Class

1st Month= Rp. 350.000,-

Full COurse= Rp. 700.000,-

Payment done via transfer to

Bank Muamalat

1010125851

Yayasan Cerdas Taqwa Kreatif

Upload your payment receipt here^*

Upload your payment receipt here^*

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