Middle School Language Acquisition Registration Tuition Form

Are you applying for:

Middle School Language Acquisition Tuition?

Yes

No

Do you hope to do this language as a Language B or Language A at IB Diploma Level?

Yes Language A

Yes Language B

No

Is your interest to maintain and develop fluency in this language for other reasons?

Yes

No

Date of Birth:(required)

Nationality:(required)

Student's Mother Tongue:(required)

IB School Name:(required)

School's Language Co-ordinator's Name:

School's Language Co-ordinator's Email Address:

How many years have you studied or spoken this language?(required)

How many years has it been since the student attended a school where this language was studied?(required)

Does the student read in this language?(required)

Yes

No

If yes, please describe some sorts of things read in this language:

Does the student write in this language?(required)

Yes

No

Has the student had "formal" tutoring in this language during the past two years? (ie Saturday school, distance learning programme, private tutor, group lessons at school). Please explain:(required)

In addition to this mother tongue course, is the student studying other IB languages as part of the the IBMYP? Please explain:

Who is paying for your Language Consultant tutor?

Family paying privately:(required)

Yes

No

Partial

Parent's company, embassy or sponsoring organization:(required)

Yes

No

Partial

If company please name the company:

Name of person who should receive the invoice:(required)

E-mail:(required)

Billing Address(required)

Telephone number:(required)

I have read the Terms and Conditions for ILLTC Mother Tongue Mentoring Consultancy and agree to their terms. I have read and discussed with the student the Privacy Statement along with purpose of this programme in light of the European General Data Protection Regulations (GDPR) and we have understood and agree with these Guidelines as set out by the ILLTC GDPR Policy Statement for Clients published on the website. (required)

Yes

No

Name of person completing form:(required)

Title:

Email address(required)

Relationship to the IB Candidate (complete as appropriate):(required)

School staff (eg IB Coordinator, Language A Coordinator, SS Coordinator)

Parent

Representative of Sponsoring Organisation or Relocation Company

Name of Firm:

Next Steps:

Upon receipt of the completed registration form we will contact your school (if this has been submitted by someone other than the school) and also the person who will pay the fees to confirm arrangements. We will then send the first invoice for payment, and introduce your ILLTC Teacher so the student, school and teacher can plan next steps.

Middle School Language Acquisition Registration Tuition Form

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Middle School Language Acquisition Registration Tuition Form