UCL CENTRE FOR LANGUAGES
& INTERNATIONAL EDUCATION
Part-time English Courses 2015-2016
Enrolment Form
Applications for these courses can be submitted during the advertised enrolment periods below to the EAP Office,
Room 121, UCL Centre for Languages & International Education, 26 Bedford Way, London WC1H 0AP
Enrolment for Term 1
Enrolment for Term 2
Enrolment for Term 3
30 September – 7 October 2015
7-10 December 2015
16:00-17:00
21-23 March 2016
16:00-17:00
13-20 January 2016 (weekdays)
15:30-17:30
25-29 April 2016
15:30-17:30
(weekdays)
15:30-17:30
Personal details
Title (Mr /Ms /Mrs /Dr )
First name(s)
Surname
Date of birth
Sex (male / female)
Current university / place of study
 UCL  Other (please state where)
UCL Student Number
Undergraduate
Nationality
Department name
 Postgraduate
Title of degree course
Which year did you
begin your studies?
English language qualification (e.g. IELTS / TOEFL / CAE / CPE)
Email address 
Telephone contact(s)  (Home / Mobile / Work)
Course name
Price per course
(Please )
UCL
NonUCL
Course name
Price per course
(Please )
UCL
NonUCL
One-term courses for UCL and non-UCL students
Academic Writing for students on taught courses (UG & PG)
Academic Writing
£250
Academic Speaking and Pronunciation Courses
£350
Academic Speaking Skills (Term 1, Term 2)
£220
£270
£170
£350
£250
£220
£420
£300
£220
£270
£300
£400
Option A
£480
£600
Academic Speaking Skills (Term 3)
Pronunciation and Public Speaking
Pronunciation (Term 1, Term 2)
Option B
£350
£400
Pronunciation (Term 3; 6 weeks)
Academic Reading / Listening Skills
Thesis Writing (for current MPhil/ PhD students only)
Advanced Grammar
Advanced Grammar (Term 1, Term 2)
£170
£220
Advanced Grammar (Term 3; 6 weeks)
£120
£170
Two-term course for UCL students only
In-sessional EAP (Terms 1 & 2; 17 weeks)
£450
Academic Reading & Listening
Academic Reading only
£170
£220
Academic Listening only
£170
£220
Are you required by your department or UCL Registry to take this course? YES
NO
For Office Use
Amount paid: £ ........... Term: ............ Payment method: ………..
Date: ..............
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Please give details of any previous courses you have taken with us:
How did you hear of our courses? Please tick:
CLIE website
UCL publicity
Dept. tutor or UCL Registry
Facebook / Twitter
CLIE Reception
Other (please specify): ……………………………….
Enrolment notes:
1. To enrol on most courses, simply complete pages 1 and 2 of this Enrolment Form and go to the
EAP Office, Room 121. Our EAP administrator will ask for your signed form and full course payment
in order to complete your course enrolment.
2. When choosing from our courses, if you have any questions concerning academic content, please
speak to one of the CLIE teachers available at Reception during advertised enrolment period hours.
3. To enrol on In-sessional EAP or Academic Speaking Skills only: before going to Room 121,
please attend a short interview with one of the CLIE teachers at Reception during enrolment hours.
After the interview, the teacher will confirm your suitability/English level for the course and complete
the boxes below as appropriate. No prior appointment is necessary for these interviews.
TO BE COMPLETED BY CLIE TEACHER AT RECEPTION DURING INTERVIEW
(or by Daphne Thomas, Part-time Courses Co-ordinator)
In-sessional EAP
C /UC
Academic Speaking Skills
Initials
Date
4. UCL research students (MPhil/ PhD) who wish to apply for Doctoral Skills Development
Programme funding to take the Pronunciation and Public Speaking course or Thesis Writing
(Option A, Option B) should complete all 4 pages of this application form. As part of this funding
application, you will need to request approval from your UCL tutor, using pages 3 and 4. Once this
approval is received from your tutor, take all 4 pages to the Doctoral Skills Development Programme
office and have page 2 below signed. Finally, bring pages 1 and 2 to the EAP Office in Room 121 to
reserve your place on a course.
Please read and sign to confirm your understanding:
Fees are not refundable once a course has commenced, and no partial refund can be given for any
classes not attended. The CLIE cannot accept responsibility for unforeseen changes in a
participant’s circumstances that may prevent attendance. The CLIE reserves the right to cancel a
class where necessary. In this case only, course fees will be refunded in full.
Signed: ......................................................................
Date: ........................................
For Doctoral Skills Development Programme Use
Courses Applied For:
(Please state term)
Thesis Writing Option A
Thesis Writing Option B
Pronunciation and Public Speaking
Signature: ………………………
Date: …………………..
Please note that Doctoral Skills Development Programme funding is not guaranteed and there may be occasions when it is not possible to make an award.
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