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.
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: Payment for the total course is due at or before the first lesson. Please note that individual lessons are scheduled directly with your teacher. If it is necessary to cancel a scheduled lesson, you need to give your teacher 24 hours notice. Otherwise, the lesson time will be charged. (Exceptions may be made in cases of illness or emergency.)
Please type YES to indicate you understand this policy
Are you a UVa employee and eligible to receive education benefits?
I don't know
How would you like to pay?
Credit/Debit card (next step)
Personal check before first lesson
Do Not Fill This Out