Private Classes (Step 2) — Nova Language College

Please complete your information!

Your Name prefix, Mr or Mrs?

Personal Information

Full Name

E-mail

Phone

Date of Birth

Gender

Address (or) time zone

Preferred Contact Method

Email

Phone

Text

Language Proficiency Information

Native Language

Current English Level (Self-assessment)

Have you taken any English proficiency tests? (e.g., IELTS, TOEFL, or others)

Yes

No

Q1. What was the name of the test?

Q2. What was your Writing score?

Q3. What was your Reading score?

Q4. What was your Listening score?

Q5. What was your Speaking score?

Learning Preferences

Have you had any previous experience with private English lessons?

No

Yes

What are your main language learning goals? (Speaking, Listening, Writing, Reading, Grammar, Exam Preparation, Others)

Preferred Focus of Lessons (Conversational English, Business English, Academic English, or General English, Others)

Special Requirements

Do you have any learning disabilities or special requirements we should know about?

How did you hear about us?

Additional Comments