Individual Registration Form - English/ESL
Speaking and Writing Courses for Non-Native Speakers
How did you find out about English lessons at Speak!?
Your Phone Number
Which course would you like?
Individual English Lessons (All Levels)
Advanced English for Academic & Professional Purposes
Academic Writing for Professionals
Please briefly describe your professional situation as well as your specific goals for customized lessons.
Please provide days/times when you are available for English lessons. Please be as specific as possible so that we can find a teacher to match your schedule.
Are you a UVa employee and eligible to receive education benefits?
I don't know
Please enter Tuition Due for total number of hours:
10 hours (discount for children, teens, and full-time graduate students): $500
10 hours (Skype tutoring): $500
10 hours: $600
20 hours: $1150
25 hours: $1400
30 hours: $1650
37 hours: $2000
50 hours: $2,600
60 hours: $3,000
Payment and Cancellation Policy: 1) Payment for the total course is due at or before the first lesson; 2) A notice of 24 hours is required to cancel an individual lesson; otherwise, the lesson time will be charged; 3) Partial refunds for courses cancelled by the student may be given on a case-by-case basis, and if requested in writing within 45 days of the start of the one-on-one course; 4) courses funded by UVa education benefits expire one calendar year from the date of approval.
Please type YES to indicate you agree to these policies.
How would you like to pay?
Credit/Debit card (next step)
Personal check before first lesson
Do Not Fill This Out