confirm your enrollment by Email, Fax, Telephone or Regular Mail.
Choose the class(es) you wish to attend:
Beginning Intensive 1
Intermediate 1 & 2
Private Lessons Number of Hours Per Week
On what date do you wish to begin classes?
How long do you plan to attend the school?
On what date do you plan to arrive in Seattle?
How would you like us to confirm your enrollment?
By Regular Mail
Sex: Male Female
Date of Birth (Mo/Day/Yr):
Zip Code: Country:
Person to be contacted in case of Emergency:
If you know where you will be staying in Seattle, please fill out the following:
It is important that our staff be aware of any current or previous medical conditions
that you may have. An honest evaluation of your health is essential. Do you have
any physical conditions or restrictions, allergies or mental disabilities requiring
special treatment or accommodations? Are you currently taking any prescription
If yes, please give details using the space below:
Is this your first trip abroad? Yes No
Have you studied English before? Yes No
For how long?
For what purpose are you studying English?
What is your level of English?
Are you currently employed? Yes No
What is your position or job title?
Are you a student at another school? Yes No
What are you studying?
What are your plans in addition to
How did you hear about our school?
Link From Another Website
Recommended By a Friend
In the following space, please write a short autobiography of one or two paragraphs.
This is a very important part of the application as it provides us with a sample
of your writing.
American School of English
NE 50th Street Suite 205. Seattle, Washington. 98105
U.S.A. see a map
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