Name *

First Name

Last Name

Phone

(###)

###

####

Birth Date

MM

DD

YYYY

Why do you want to get trained in English facility and fluency?

Check all that apply/applies to you.

I need to pass the IELTS to enable me to apply for permanent residency in Canada.

I want to score high in the IELTS.

I did not pass the IELTS in my previous attempt(s).

I want to apply for permanent residency in Canada.

Having the facility of English will land me a good job.

I want to communicate well with my Canadian employer.

I need to cope with my children's facility in English.

I need to be a role model to my family and friends.

English is one of the two official languages of Canada.

Which of these macro skills do you want to focus on?

Circle the skill/skills.

Speaking

Reading

Writing

Listening

Which of these four macro skills are you good at?

Circle the skill/skills.

Speaking

Reading

Writing

Listening

How much time are you willing to invest in training for English facility and fluency?

10 hours over five days

12 hours over six days

14 hours over a week

20 hours over 10 days

24 hours over 12 days

36 hours over 18 days

Through which learning management system do you wish to train?

Blending learning (online and in-person)

Online (Zoom, Google Classroom, Facebook Room)

In-person

How much are you able to spend

Option 1

Option 2