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Registration Form
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Registration Form
Please provide us with the following information
Name
First
Last
Date of Birth
*
DD slash MM slash YYYY
Nationality
*
Passport No./ID no.
*
Mobile Number
*
Email Address
*
Address in Malta
*
Name or Door Number
Street Name
Locality
Upload a passport size photo on a white/plain background here:
*
Accepted file types: jpg, gif, png, pdf, Max. file size: 8 MB.
Emergency Contact Information:
In case of an emergency we would need to contact a relative or guardian or relevant other. Please provide us with:
Emergency Contact Person
First
Last
Emergency Contact Mobile Number:
*
Emergency Contact Person Relation (e.g. mother/father etc)
*
Medical Conditions / Health Declaration
Do you have any medical condition, disability, or health issue we should be aware of to help keep you safe during lessons?
*
Yes
No
Please provide details about your medical condition or any:
*
Do you have any allergies (e.g., food, medication, environmental) that staff should know about in case of an emergency?
*
Yes
No
Please provide details about your any allergies:
*
Do you require any medication during school hours, or is there any emergency medication staff should know about (e.g., inhaler, EpiPen, insulin)?
*
Yes
No
Please provide details about your any medication:
*
Is there anything that could affect your participation in classroom activities (e.g., hearing, vision, mobility, concentration, fatigue)?
*
Yes
No
Please provide details about the impact of your participation on classroom activities:
*
Learning Needs / Educational Support
Do you have any diagnosed or suspected learning difficulty or educational need that may affect your language learning (e.g., dyslexia, ADHD, autism spectrum condition, processing difficulties)?
*
Yes
No
Please provide details you would like the teacher to know:
*
Are there any classroom strategies or adjustments that help you learn more effectively?
*
Yes
No
Please provide details about classroom strategies or adjustments:
*
Are you comfortable learning in a standard classroom setting without dedicated support staff?
*
Yes
No
Please explain any concerns:
*
Consent
*
I give inlingua Malta my consent for use and processing of my personal informatin according to the GDPR (EU) 2016/679 and the Data Protection Act (Cap. 440) and understand my rights and obligations as well as the period of retention of infomation by inlingua School of Languages Malta for processing, employment and all relevant operations
Consent
*
I declare that the information provided above is accurate to the best of my knowledge. I understand that the school provides only standard classroom teaching and does not offer specialist medical or learning support staff continuously, but it will endeavor to provide help or offer advice if required. Providing this information helps the school assess whether it can reasonably meet my needs and maintain a safe learning environment.
Now that you have completed our online registration form kindly follow this link and register and take our online placement test:
https://my.inlingua.com/placementtest/progressive?center=malta&lang=en
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