Killarney school of English
www.ksoe.com
Application form 2006


Personal Details

Name: Mr / Mrs / Miss
Address:
Country:
Tel No
E-Mail
How many travelling?
Date of Birth:
Sex:
Occupation:

Course you wish to take (Please tick)

GE1 GE2 GE3 One-to-one
Other

Approximate level of English (Please tick)

Complete beginner
Elementary
Pre-Intermediate
Intermediate
Upper-Intermediate
Advanced

 

Date of Arrival
Time of Arrival
:
Place of Arrival
Date of Departure
Time of Departure
:
Where did you find Killarney School of English?

 

Accommodation (please tick)

Host Family Killarney Oaks Inn (4 star hotel)
I will arrange my own accommodation Other
If host family required , do you have any special dietary requirements? YesNo
If yes, please specify
Do you have any medical conditions: Yes No  
If yes, please specify

 

 

www.ksoe.com
Application form 2005
Fernando Denis Ramírez Guerrero