Registration Change Request

Registration Change Request
Students requesting to make registration changes are asked to submit a written request to the Academic Manager. This form should be completed by any student who wishes to: change their program, or address a misplacement.

Requests from new students regarding misplacements should be submitted during the first 1-2 days of the session.
Name*

First NameLast Name
Email
example@example.com
My current program/course*

Premium ESL 24Premium TOEFL 32Career Business English
My current level: Premium ESL 24

Beginner ABeginner BPre-Intermediate APre-Intermediate BIntermediate AIntermediate BHigh Intermediate AHigh Intermediate BAdvanced AAdvanced BProficient AProficient BAcademic English AAcademic English BAcademic English CAcademic English D
My current module: Premium TOEFL 32

TOEFL ATOEFL BTOEFL CTOEFL D
My current module: Career Business English

Business ABusiness BBusiness CBusiness D
What type of registration change are you requesting?*

Program/Course Change: I would like to change my program/course.Misplacement: I think my level placement is wrong; I'm a new student.Academic Probation: My cumulative level average is below 75%. Per the academic policy, I am required to repeat my level.
Program/Course Change: Which new program/course would you like to switch into?

Premium ESL 24Premium TOEFL 32Career Business English
Misplacement: I would like to...

Try the level above mine.Try the level below mine.
Comments?
If you have any comments to add, please leave them here.
Student's Signature*

Clear
Signature

Clear
Should be Empty: