Chilingual Course Registration Form

Chilingual Class Registration Form

Please fill out the following form to register for a class with CLL, LLC
Student Name*

First NameMiddle NameLast Name (Surname)
Birth Date (U.S. Style)*

MonthDayYear
Gender*

FemaleMaleNon-binaryPrefer to self-identify
Native Language*
E-mail*
By entering your email, you agree to receive news and updates from Chilingual. You can unsubscribe any time.
WhatsApp Number*

Country CodePhone Number
Current English Proficiency Level*
Have you taken an official English exam (TOEFL, IELTS, Cambridge, DET, etc.)*

Yes, within the last two yearsYes, but more than two years agoNo
What official English proficiency exam have you taken?

TOEFLIELTSCambridgeDuolingo English Test (DET)CAELPearson (PTE)Other
What was your score on the above exam?
Profession/ Job*
Highest Level of Education Completed*
Current City and Country*
Current Time Zone *
CST, EST, etc.
Are you willing to take a short assessment exam to gauge your current level of English proficiency? (This is required for all upper-level classes)*

YesNo
My Products*
prevnext( X )
Dirty English10 weeks, 20 classes
$300.00 Quantity



Business English10 weeks, 20 classes
$300.00 Quantity



English through Music 110 weeks, 20 classes
$300.00 Quantity



Advanced Speaking & Pronunciation8 weeks, 16 classes
$300.00 Quantity



Online TOEFL Prep8 weeks, 16 classes
$350.00 Quantity



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Chilingual Class Registration Form