Lydbury English Centre

Personal details

* Your Full Name

* Your Email

* Nationality

* Gender
---MaleFemale

First Language

Other Languages

Date of Birth

(dd/mm/yy)

Home Address

Course Start Date

(dd/mm/yy)

Telephone Number

Fax Number

Professional Details

Company Name

Company Address

Job Title

Telephone No

Fax No

Description Of Your Job

Please describe your job

Who are you responsible for?

Who are you responsible to

What was your job five years ago?

Your Language Experience

Have you visited the UK
or other English speaking countries?
---YesNo

If yes, please give details

Please give brief details of any previous English language training.

Please give any further details you think might be useful

If you have been to Lydbury before, please give an approximate date.

(dd/mm/yy)

English Language Requirements

Do you use English in your present job?
---YesNo

If yes, is this mainly -
---WrittenSpokenBoth

Is English the working language of your company in your country?
---YesNo

Approximately how many hours per week do you use English?
---0-56-1011-1516-2020+

What do you think or hope your job will be in 5 years time?

Will your requirements for English be the same or will they change?

Professional Language Requirements

Please enter the positions of a maximum of 8 people you communicate with in English on a regular basis - and how you do this:

Person 1:


---TelephoneFaxVideo ConferencingFormal meetingInformal MeetingLetterOther

Person 2:


---TelephoneFaxVideo ConferencingFormal meetingInformal MeetingLetterOther

Person 3:


---TelephoneFaxVideo ConferencingFormal meetingInformal MeetingLetterOther

Person 4:


---TelephoneFaxVideo ConferencingFormal meetingInformal MeetingLetterOther

Person 5:


---TelephoneFaxVideo ConferencingFormal meetingInformal MeetingLetterOther

Person 6:


---TelephoneFaxVideo ConferencingFormal meetingInformal MeetingLetterOther

Person 7:


---TelephoneFaxVideo ConferencingFormal meetingInformal MeetingLetterOther

Person 8:


---TelephoneFaxVideo ConferencingFormal meetingInformal MeetingLetterOther

Please select the activities where you need training in English - multiple choices possible.

Speaking & Understanding
 Negotiations  Chairing or leading discussions  Formal meetings  Informal meetings  Making speeches  Giving presentations  Listening to talks  Telephone calls  Instructing, explaining, demonstrating  Social situations  Other

Reading
 Memos  Letters  Emails  Reports  Professional & trade literature  Instruction manuals  Other

Writing
 Memos & letters   Emails   Reports   Other

Expectations & Outcomes

What do you expect your course to do for you?

What does your company expect your course to do for you?

Are you following a language training course at the moment?
---YesNo

If yes, please give details

If yes, what does your language trainer expect this course to achieve for you?

Will you follow a language programme when you return to your company?
---YesNo

If yes, please give details

Problems & Priorities

Which of the activities listed in the previous section give you particular problems?

How high a priority are these problem areas to you?

Problem 1:


---Very low priorityLow priorityNeither low or high priorityHigh priorityVery high priority

Problem 2:


---Very low priorityLow priorityNeither low or high priorityHigh priorityVery high priority

Problem 3:


---Very low priorityLow priorityNeither low or high priorityHigh priorityVery high priority

Problem 4:


---Very low priorityLow priorityNeither low or high priorityHigh priorityVery high priority

Problem 5:


---Very low priorityLow priorityNeither low or high priorityHigh priorityVery high priority

Problem 6:


---Very low priorityLow priorityNeither low or high priorityHigh priorityVery high priority