Name *

First Name

Last Name

Phone *

For quicker communication

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Basic Information: *

Current English Proficiency Level (Beginner, Intermediate, Advanced):

Beginner

Intermediate

Advanced

What are your main goals for learning English? *

(Please tick any that apply and feel free to add your own.)

For professional/work-related reasons

For daily communication in an English-speaking environment

For Travel

Other (please advice below)

What skills do you want to focus on improving? *

(Please tick any that apply.)

Listening

Speaking

Reading

Writing

Grammar

Vocabulary

Pronunciation

Consent to contact:

I consent to being contacted by Amanda regarding class availability, other related information, and any matters related to Aussie English with Amanda.

Yes