Please make sure that you have read the Entry requirements and Lab policy before completing this application form. Answer either in English or in French for your learning goals.
Application Form & Agreement
| Please make sure that you have read the Entry requirements and Lab policy before completing this application form. Answer either in English or in French for your learning goals. |
RanCorp Services International English Language School
RanCorp Services IELSE-mail: halijf@yahoo.fr
Tel: 0783593253
www.ielsrancorp.blogspot.com
APPLICATION DEADLINES Normally, we must receive a complete set of application documents and fees to grant your enrollment before the program starts. Part A. Personal data:
First Name ______________ Last Name: ______________ Home Address_________________________ Telephone___________________ Fax:________________ E-mail______________________ Date of Birth _____/____/____ __ Male __Female Place of Birth (country, city) ________________ Occupation _______________ At__________________ Nationality _____________ Country ________________ ID or Passport number: ________________________ Native language _________________________________Other languages, if any ___________________________
Emergency Contact: _______________________________
Name: __________________________________________ Relationship: _____________ Telephone: _____________
Part B: Educational History School & Location: Degree or Diploma Awarded: Date of Degree: From ----to----- Major Subject: Are you currently studying? (S = Secondary school or U= university) S_____ / U____
If yes, what time do you go to school? From________ to _______
Part C. Program data
I am applying for: - Day program
- Evening program
- Week end program
- Distance learning program
- From ___to ___ (8:00—10:00 am; 10:00 –12:00; 2:00 -- 4:00;4:00—5:30; 5:30—7:30; 7:30—9:00) Please choose the course- Beginning,Intermediate&Advanced Language Courses
- TOEFL- TOEIC- IELTS
- American & British Accent Guide
- Business English
- Military English
- Medical English
- English for International Tourism
- Writing Workshops
- Grammar Training
- Speaking Seminars
Do you have a laptop or flash /CD / DVD player? (Laptop____ / (Flash / CD / DVD player)____ Have you ever studied English? I have studied English for ______ months
What is your current level of English?
Beginner __ High beginner __ Intermediate__ High Intermediate__ Advanced - How do your interests and career objectives match with this English Training Program?
(Answer in English or in French)
PartD:Self assessment(Answer in English or in French) - How would you describe the challenges you have in English?
- What have you been doing to resolve them?
- How long have you thought it would take you to overcome the problem?
- What materials if there are any, have you been using?
- What have you learnt that you didn’t know?
- What do you think your accent is? (American, British or none)
- Do you think that the lack of using grammar correctly affects the way we communicate?
Yes___ / No_____
- Use the words below to rate your grammar skills
Excellent – Very good- Good- Fair - Bad
Verbs &Tenses_________;Nouns_________;Adjectives_________
Sufficient_____ / Limited_____ / A few____
Do you ever run out of words when speaking? __/ __
What do you do to enrich your vocabularies?
If reading is mentioned, in a few words, what have you recently read?
How often do you speak English whenever you get a chance?
Always___ / Often___ / Sometimes___/ Seldom_____
When you are speaking English, do you feel confident or insecure? Part E: Weaknesses and Strengths Please rate yourself on the traits shown below
Percentile (1-100)
- Intellectual ability------; Motivation & diligence-----; Decision making-----;
- Integrity-----; Time management----; Stress management----; Teamwork----;
- Problem-solving ability---; Goals prioritizing---; Creativity----
Part F. Payment of Fees:
All courses must be pre-paid. Students must pay for three months of courses to guarantee placement (students may pay the 1st month and also deposit two non-refundable guaranteed checks).
I. A non-refundable registration fee of RWF 5000, school fees of RWF 75,000 for a quarter are required with your application.
II. Please select one of the following payment options
1. __ “Full payment” Please find enclosed a pay slip of due total amount of RWF 80,000 for the registration, and school fees of three months. 2. __ “Installments” Please find a pay slip of one month equivalent to RWF 30,000 for registration (RWF5000), and school fees (RWF25000) for the first month along with two non-refundable guaranteed checks for the second and the third months equivalent to fifty thousand (50,000) Notice: The above fees are only applicable for General English courses.
The standard Tests and Professional English training the school fees are $ 100 per month.
III. Sources of Support
Self (Name / ID card and Signature)
Parent (Name/ ID card / Phone & Signature)
Sponsor (Name/ ID card /Passport/ Phone & Signature)
Please note that your application will be considered as received only when your payment of the enrollment fees and the tuition deposit has been received.
All payments are payable through FINA BANK, A/N:013-1100340
Part G. Agreement
By signing this Application, I also acknowledge it stands for the contract of learning English (see the selected program) between I ___________________________________ and the school mentioned above. I certify the above information is complete and correct. I understand that my misrepresentation may result in breach of this agreement and expulsion from the program. I have read the Agreement and agree to follow all RanCorp Services IELS procedures. This Agreement will be effective when my application is accepted by IELS and shall be governed by the laws of the Republic of Rwanda.Applicant's Signature ___________________________ Date: ___________________________Please do not forget to make a copy of this completed and signed application for your records and enclose your payment of the application fee and deposits. 
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