International Student English Language Program Registration

International Student English Language Program Registration — Form Fields

This registration template includes 9 fields. Register international students for English language learning programs. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• Phone Number (text, required)
• Country of Origin (dropdown selection, required) — options: China, Japan, South Korea, Brazil, Mexico, Saudi Arabia, India, Other
• Current English proficiency level (dropdown selection, required) — options: Beginner (A1), Elementary (A2), Intermediate (B1), Upper Intermediate (B2), Advanced (C1)
• Program type (dropdown selection, required) — options: Intensive English (20 hrs/wk), Semi-Intensive (15 hrs/wk), Part-Time (10 hrs/wk), Exam Preparation (TOEFL/IELTS)
• Program start date (dropdown selection, required) — options: January 6, March 3, May 5, July 7, September 1, November 3
• Visa type (multiple choice, required) — options: Student F-1, Tourist B-1/B-2, Other Visa, No Visa Required (Domestic)
• Learning goals and reason for study (long text, optional)