Immersion Programme Application Form
Ciao, let’s see how I can help you.
You are….?
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First Name
Last Name
Email address (that you use and check)
*
example@example.com
Where do you live? What’s your native language?
Your city, country, and language
How would you describe your current job?
How long have you been doing it?
What has triggered the need for an immersion programme now? In other words, what has changed in your career?
What impact would improving your English for work have on your career? Be specific.
For example, would your promotion prospects be better? Would you earn more money? Would it put you in a stronger negotiating position with clients or counterparts? Would it impress your bosses? Would it increase your confidence?
How often do you communicate in English at work?
Every day
Once a week
Once a month
Once a quarter
With whom do you communicate in English?
Monolingual English speakers
International speakers of English
Both
What are your top 3 challenges when communicating in English? Please be specific. Don’t say ‘speaking or listening’. Give me real examples
“I have real trouble understanding my Chinese or Russian suppliers on the telephone”; “I need to prepare for an important interview in English and I don’t know where to start”; “I have to give presentations in English but I feel they need to be more natural”; “It takes me so long to write simple emails’’, “I freeze when I have to make a phone call in English.”
Taking one of the above 3 challenges, what is a real problem for you that you want/need to solve NOW?
For example, “I’m going to be presenting in English at a conference in 3 weeks’ time and want to be ready for it”.“A big part of my job is calling prospective clients and I need/want to feel more confident handling questions and improving my listening skills now”.“I’ve just been promoted and my new role involves socialising and engaging in small talk in English and I feel really uncomfortable about it.”“I have an upcoming interview for an executive role and I want to be prepared for it.”
Which week(s) would be convenient for you? (Feel free to choose more options)
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Mar 2 - 6
Mar 16 - 20
Mar 30 - Apr 01
Apr 27 - May 01
May 11 - 15
May 25 - 29
Jun 8 -12
Jun 22 - 26
Jul 6 - 10
Jul 20 - 24
Aug 3 - 7
Aug 17 - 21
Sept 14 - 18
Sept 28 - Oct 2
Oct 12-16
Oct 26 - 30
Nov 9 - 13
Nov 23 - 27
Dec 7 - 11
I'm flexible
How did you discover me? (Ex: on LinkedIn, Internet search, recommendation, Facebook, Instagram)
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