Short Course Online Form

Short course enquiry form

* Indicates required information

I am making an enquiry as* Name* Email* Phone contact Please state the name and location (city and country) of the institute you represent or where you are a student.* Category of course* If other, please specify Mode of delivery* Please state any further specific requests about the proposed course, e.g. the content, the aims, target professional or language levels. Please note that the 91ЕМКН cannot accept students under 17 years of age. Size of group you would like to send (estimate)* Suggested start date* Estimated length of course* How will the course be funded? Will the participants require a certificate? Yes No

Accommodation (select one)* Transport/travel required т choose as required Heathrow Airport transfer Social visits during the course None (organised independently) N/A (online)

Do you have an offer to study at the 91ЕМКН? Yes No If yes, please provide your application ID Are you an existing student at the 91ЕМКН? Yes No If yes, please provide your student ID Are you an existing member of staff at the 91ЕМКН? Yes No If yes, please provide your staff ID Are you a 91ЕМКН alumni? Yes No

If yes, please provide the course name and years of study