APPLICATION FORM

Download application form

Download our brochure

Leeds Language College
Terms & Conditions

Follow us on

Videos

Click the image below to view our videos.

Application Form

Please fill in the application form below and a member of staff will contact you about your application.

First Name *

Last Name *

Date of Birth (DD/MM/YY) *

Gender *

Nationality *

Profession

Passport Number *

UK Address including postcode

Telephone number (UK)

Email Address *

Home address in your country of birth *

Telephone number (include code) *

English speaking next of kin

Which programme do you want to take? (See courses page for more details)

Courses *

Start Date (Monday) DD/MM/YY *

Finish Date (Friday) DD/MM/YY *

Preferred time (subject to availability) *

How many hours per week ? *

Number of weeks *

Level of study *

Accommodation Registration

Do you need accommodation?

Self Catering Single Room Double Room

Bed & Breakfast Single Room Double Room

Half Board Single Room Double Room

Special Requirements

Allergies/dislikes

Homestay arrival date (DD/MM/YY) *

Homestay leaving date (DD/MM/YY) *

Arrival date in UK (DD/MM/YY) *

Departure date from UK (DD/MM/YY) *

How did you hear about us? *

Payment option *

Please Note: To pay in installments you must be studying for 12 weeks or more. There are different prices for studying in the morning and afternoon/evening classes

Enrolment & booking fees

Accommodation booking fees

Course fees

Total Amount

I confirm that I have read and accepted all the terms & conditions of enrolment at Leeds Language College Ltd. I agree to abide by the Leeds Language College Ltd rules.

Signature *

Type the characters you see in the picture below