Enquiry form 
Homestay English in Scotland

I am sorry to say that, at present, because of recent changes to the law, you cannot come to Britain to study English with me. This is because I am an independent English teacher, and not an "accredited institution". 

But, if you have time, please complete and return this form to me anyway -
Environmental English is an exciting idea, and it's one I want to develop!

Full name 	(exactly as on your passport or national identity card)	__	
			
e-mail address		__	
			
Telephone	Home phone	__	
	Mobile phone	__	
			
Date of birth	date/month/year	__ . __.__                           (Under 18s must be with an adult)	
			
Level of English	Pre-Intermediate
(CEFR A2)   __	Intermediate
(CEFR B1)  __	Upper Intermed,
(CEFR B2)  __	Advanced
(CEFR A1)  __	
Study aims	I want to do (general English, business English, pronunciation, etc. You choose!):   ______	
			
Course dates		I want to arrive on:

Date _ ___ Month _ ___	I want to leave on:

Date _ ____ Month _ ___	
			
Your diet:	Are you vegetarian?	(Typically no meat, poultry, fish, or non-freerange eggs)
__	
	Are you vegan?	(Typically no meat, poultry, fish, animal milk, yoghourt, cheese, eggs, mayonnaise, gelatine, honey)
__	
	Is there any food you don't eat? (Nuts, pork, fish, etc)	__	
			
Now return the form by email to:	nicholas@linguetic.co.uk	

Thank you; I will contact you very soon.
Nicholas