Registration form
Classroom English & Basic CLIL Skills
Please fill out this form and send it to: Tilburg University, Student Desk, A 301, P.O. Box 90153, 5000 LE Tilburg
or email it to: languagecourses@tilburguniversity.edu
The course for which I am enrolling the following participants is *:
□ Classroom English: Cambridge Proficiency Level - € 750 per participant
□ Classroom English: Cambridge Advanced Level - € 750 per participant
□ Basic CLIL Skills - € 525 per participant
* Tick the box. Please send in separate forms in case you wish to enroll participants in more than one course.
Participant(s) Can also be provided in a separate document
First name
Last name
Mr/
Ms
Date of birth
dd/mm/yyyy
Email
Subject
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Payment details
School: ___________________________________________
Name: ______________________________________ Mr/Ms1
Address: ___________________________________________________
Zipcode & City: _________________________ Telephone: _______________________________
Email: ______________________________________________________
Total fees: ___ participants x € ___________ = € ___________ in total.
I hereby declare that I know and agree to the general conditions of enrolment from the
Language Center of Tilburg University.
Date:_______________________________ Signature:__________________________
The Language Center reserves the right to cancel the course in case of insufficient enrolments.
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Read the following information carefully.
Entry requirement
The entry requirement for this course is a CEFR-level of at least B2 on average for the Advanced
course or the Basic CLIL Skills course or C1 for the Proficiency course.
Registration
It is possible to register by handing in a completed and signed registration form at the Student Desk
or send it to the address mentioned on page 1. Registration takes place on a first-come, first-served
basis. Registration will only be confirmed if the registration form has been signed and submitted.
You will receive confirmation as soon as this has taken place. An invoice for the course fee (per
person or per school) will be sent in August.
Deadline for registration Basic CLIL Skills and Classroom English Proficiency: 1 August 2016
Deadline for registration Classroom English Advanced: 6 January 2017
Cancellation
This can only be done in writing: by mail or by email (languagecourses@tilburguniversity.edu).
The date of the postal stamp or the date of the email will serve as the cancellation date. A
cancellation is not final until you have received our confirmation (by mail or email).
 In case of cancellation before the enrollment deadline you will be charged € 50 to cover
administrative costs.
 In case of cancellation after the enrollment deadline for a course or after the course has
started, you will be required to pay the complete course fee.
Restitution of course fees is only possible if the course is cancelled by the Language Center.
Disappointing scholastic results are not a valid reason for receiving restitution. In exceptional
circumstances, such as long-term illness or personal circumstances that are detrimental to study, the
Head of the Language Center can decide to refund fees. Course participants who wish to request
restitution can submit a request to the Student Desk, attn. the Head of the Language Center. Any
requests must include written proof of the circumstances on which the request is being based. The
Head is to respond to such requests within six weeks of submission, and can request a meeting with
the applicant.
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