Student Profile Enrollment form Offers Lessons Schedule and prices Why Bogaers? Student Profile Accreditations and partnerships Partners References Information Request Contact and Information Bogaers Taleninstituut Groenstraat 139-155 5021 LL Tilburg 013 - 536 21 01 Student Profile Student Profile 1. E-mailadres* 2. I'm interested in:* Intake interview Free introductory conversation with language placement test and quotation Additional approved language proficiency test Career test or study choice test with advice € 150,- Learning style test with advice € 150,- Newsletter (once per month) 3. In case of language training: what language do you want to learn / improve (target language)? 4. Title* Mr Ms Mrs 5. First and last name* 6. Street and house number:* 7. Postal code and city* Street / Number Postalcode 8. What is your current occupation / position? (or last occupation / position if not currently emplyed) 9. What is your highest level of education achieved? 10. Country: 11. E-mail:*12. Phone number:13. Date of birth:* DD slash MM slash YYYY 14. Nationality: 15. Native language: 16. How do you study the most effective? (visual, auditory or in another way) 17. Point of interest. Dyslexia Hearing disability Speech disorder Poor eyesight 18. How do you use the target language privately? (on holiday, TV, reading magazines / books) 19. Do you have personal materials (letters, memos, achievements, etc.) that the trainer can study so that they have an idea about your work and capabilities during the training? If so, can you send them or bring them with you? yes no 20. Company name: 21. Company address: 22. Name and surname of managerial contact: 23. Phone number of managerial contact:24. E-mail of managerial contact: 25. A1 - If applicable: how long have you been living in Holland? 26. A2 - Did you already have classes in your target language? 27. A3- If yes, in what year was it? 28. A4- Your starting level:A1 StarterA2 BeginnerB1 IntermediateB2 Upper IntermediateC1 Advanced29. Your target level:A1 StarterA2 BeginnerB1 IntermediateB2 Upper intermediateC1 Advanced30. A5 Do you have any practical experience with the target language? Yes No 31. A6- What do you want to use the language for? Work Private Work and private 32. A7- Describe in the target language why it is important for you to learn this language and your learning expectations?33. B1 - When do you want to start the course?As soon as possibleWill discuss in consultationOther34. B2 - How many times a week would you like to have lessons?35. B3- Preferred lesson locationAt BogaersOn location36. B4- Preferred training time (advise 1 hour) per day. 37. Preferred lesson days: 38. Non-preferred lesson days: 39. Preferred interim contact times with Administrative Team at Bogaers Language Institute:MonthlyMax 2x per range40. B5. Are you interested in an individually tailored package for specific needs or a general group? Company Training (tailor-made) Individual (tailor-made) URGENT VIP-Training (tailor-made) Blended Learning (tailor-made) Dutch as a Second Language (integration) General Open Group Courses 41. B6 Would you like extra practice support in order to yield higher results (without teacher)? Not interested Online with E-learning (choose for blended learning) 42. Is there a maximum budget? Yes No 43. If so, what is your maximum budget? 44. How did you find out about Bogaers? Internet Advertisement Through other people Former student Other A recognised BEGINNING TEST is free at registration. Without registration, you only pay the test fee of 50,- excl. VAT (if the initial test had been taken).45. Would you like to take the test?Yes pleaseNo not at the momentA recognised FINAL TEST for € 50,-. The level of the final test appears on your certificate. Without registration, you only pay the test fee of 50,- excl. VAT (if the initial test had been taken).46. Would you like to take the FINALtest?Yes pleaseNo not at the momentBy giving this document to Bogaers, I accept the following terms and conditions:Bogaers language institute BV, Groenstraat 139-155, Tilburg or one of her related corporations will use the records of the trainees according to the law of the protection of personal data (wbp). They can use these records for commercial promotion of their products or services. The trainee has the right to know what data is related to him or her and can ask for rectification if necessary.Lesson Content Program: Learning wishes / purpose: Only check those learning points that will help achieve your goal and are attainable within the desired number of hours.47. Reading skills: Recognize simple words and sentences in eg E-mails, forms, grids, menus, inscriptions, headlines etc. A1 Understand the essence of brochures, emails, newsletters, advertisements etc. A2 Understand simple, clearly written work instructions. A2 Understand the essence and important details of reports, brochures, business and private correspondence, manuals, etc. B1 Understand general and technical articles, reports, etc. B2 Read at a reasonable pace various business and non-business texts B2 understand long, specialist articles and technical dissertations C1 Understand no more than any form of written text C2 Other, namely ..................................................................................................................... Reading skills48. Listening skills: Understand instructions, requests, and notices in trusted situations A1 Understand the main issues and some details in spontaneous conversations about known topics. A2 Understand the main issues of spoken language about everyday and professional Subjects B1 Understand spoken language about everyday and occupational subjects B2 B1 Complex arguments and discussions follow during meetings B2 recognize idiomatic expressions and understand the spoken language nuances C1 understand and understand almost all spoken words without extra effort C2 Other, namely ..................................................................................................................... Listening skills49. To have conversations: Provide personal information, set routine questions and answer A1 Make a short conversation about business everyday issues. A2 A2 Perform a standard phone call according to the current conventions A2 Establish and maintain unprepared social and professional contacts B1 Discussions about the field or beyond B2 explanation and instructions give B2 Express reasonably well and generally correctly to express: C1 to flow and substantially faultless at: C2 Spell his / her thoughts spontaneously and accurately, and then C2 Use idiomatic expressions Other, namely .................................................................................................................. To have conversations50. Speaking to public: briefly tell us about background, family situation, work history, etc. A2 briefly report and explain opinions and plans B1 Clear and detailed projects, propose processes B2 Express reasonably well and generally correctly to express: C1 express smoothly and virtually error-free at: C2 Other, namely ................................................................................................................. Speaking to public51. Write: Enter personal information on standard forms A1 write short messages and make notes, e.g. At a call A2 write routine letters, emails and faxes B1 Compose various business and non-business texts B2 at an acceptable rate produce independently and substantially error-free, well-structured text on a complex topic C2 Other, namely ................................................................................................................. 52. Describe your goal:53. Choose your learning goals: Communication training: Present Learning Writing Writing Flawless Dutch Speaking and Writing (For example, your CV or Social Media) Business Phone Application Training 54. Career switch: Career guidance Outplacement Use Social Media Socially Re-integration Other:........................................ 55. Requested Test(s): Interest test Performance test Personality test Occupational choice test Intelligence test Talent test Questions56. Country of origin: 57. How many years did you go to school in your country?58. What was your profession in your country? 59. Gender?MaleFemale60. I am a refugee:YesNo61. I did the A1 exam at the Dutch embassyYesNo62. If so yes, read result, to speak, KNS (100 questions) 63. I am subject to integration:YesNo64. I have to be obliged to integrate from (date): 65. I live in the Netherlands from (date): 66. I did a civic integration course A2?YesNo67. At which school? 68. In which city? 69. I have already done part of the civi integration exam A2.YesNo70. If so yes. What were your results? Reading, speaking, listening writing, ONA, KNM.71. You are entitled to a loan with DUO?YesNo Δ Keep in touch! Are you interested in language and would you like to be kept informed of developments within Bogaers Language Institute? Sign up for the Bogaers Talen newsletter and you will receive our latest news in your mailbox every month. Success! Name Email Submit
