Personal details Title * - Select -Mr.Mrs.MsMissDr.Other Please specify your title Surname * First name(s) * Address line 1 * Address line 2 City or town * Country * AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Postcode * Email * Telephone * Gender * - Select -MaleFemale Job or profession * Nationality * Mother tongue * Details of Education Have you ever taken an IELTS examination? * - Select -YesNo If so, what were your most recent scores? Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year199920002001200220032004200520062007200820092010201120122013201420152016201720182019 Please specify your recent scores: Reading - None -9.08.58.07.57.06.56.05.55.04.5 Writing - None -9.08.58.07.57.06.56.05.55.04.5 Speaking - None -9.08.58.07.57.06.56.05.55.04.5 Listening - None -9.08.58.07.57.06.56.05.55.04.5 Overall - None -9.08.58.07.57.06.56.05.55.04.5 What is your reason for taking IELTS? * Which IELTS grade do you need to achieve? * Do you have any disability which you think we should know about? - None -YesNo Nature of disability Please describe to us the nature of your disability and tell us of any adjustment that we may be able make for you. Have you ever studied with Glowing Results before? * - Select -YesNo Which Glowing Results course(s) have you taken? * How did you first hear about Glowing Results? If applicable, please give the full name of the person who referred you. * Are there any other comments you would like to make? Terms and conditions Please read the following terms and conditions carefully before submitting: Terms and Conditions of Tuition Information about us Glowing Results ("We") is a limited liability partnership registered in England and Wales under registration number (OC397775) which was incorporated on 26th January, 2015. Our registered office is 12 Regent Street, Manningtree, Essex. CO11 1BL. Tuition Glowing Results will provide the client with a course as specified in the course description on this web site, taught by a professional, experienced tutor with the qualifications in teaching English to adult learners that we deem requisite. Classes will not normally exceed 12 students, unless an agreement has been made, usually with or through an external organisation, to enrol a specific group. Tuition will take place at the premises of Glowing Results in Leman Street, Aldgate East, E1 8EW. While every effort is made to advise and to ensure our students’ success, and while we have a good track record, Glowing Results cannot be held responsible for a student’s attendance and final result at a particular IELTS or other externally marked exam. Registration, fees and cancellation policy All clients must complete the appropriate registration form(s) for the course(s) they wish to follow. Completion of the registration form alone does not, however, constitute enrolment for a course. A client is not considered to be enrolled on a course until the place on that course has been paid for. The fees specified for a course are payable in advance. If a client registers for a course, but delays payment until the course is about to start, the class may have already reached its full complement of students. We urge such clients to contact us at least 24 hours before their class is due to start to confirm that there is still a place for them. In a case in which a client has registered, but the class has filled up before the client has paid, we reserve the right to offer the client an alternative course, if available, or to book the client onto a later course or, in the case of last minute payments after a course is full, to return the client’s payment in full. A client who wishes to use an alternative means of payment other than paying through our web site should contact Glowing Results to arrange payment before the start of the course. A client who cancels up until one week before the start of the course will receive a full refund. If a client cancels less than a week before the course is due to begin but before the first lesson, that client will receive a refund less the cost of the first lesson. After the course has begun, in the case of non-attendance or cancellation on the part of the client, it will be at the total discretion of Glowing Results whether or not any refund will be given for the course. Glowing Results reserves the right to cancel a course if there are insufficient enrolments or any circumstances beyond its control (such as strike, crime, accident, sudden illness or bereavement). In such a case, either a suitable acceptable alternative will be offered or the clients concerned will receive a full refund. If a student is late or fails to attend a lesson which is delivered at the agreed and appointed time, that tuition time will be forfeited by the student. An arrangement may be made whereby the student can make up the time by attending a session on another course, but this is entirely at the discretion of Glowing Results. In the case of an event or circumstance (such as strike, crime, accident, sudden illness or bereavement) beyond the control of Glowing Results which prevents that class’s tutor from attending to deliver a particular lesson, Glowing Results reserves the right to provide a substitute tutor for the class or to cancel that lesson and make it up on a different day or at a different time. In the latter case, if it is not possible for a student to attend at a different time, then a refund will be given to the student for any missed lesson(s), which will be in proportion to the cost of the complete course. Conditions of acceptance on a course If a student has taken IELTS before, or an equivalent test, we will need to see a copy of that student’s most recent IELTS certificate (or equivalent) to ensure that the student’s English is at an appropriate level for the chosen class. If not, we may ask the prospective student to come in before the course begins for an interview or to take a short speaking and writing test (free of charge) to ascertain that student’s level. After the start of a course, if the course tutor deems the student’s English to be at an inappropriate level for the course, Glowing Results reserves the right to offer the student an alternative, if available, or ask the student to leave with a refund for any lessons that the student will miss as a result. However, in the case of behaviour by a student that is of such a nature that could severely disrupt the learning of fellow students, or affect the wellbeing of fellow-students or of the tutor, or cause undue offence, Glowing Results reserves the right to ask a student to leave a course without a refund. Student feedback, comments and suggestions are always considered welcome. Copyright of teaching material Much of the course material used in the classroom has been specially written for Glowing Results and is copyright to Glowing Results. Students may receive copies of such material for their personal use. This material must not be used outside the Glowing Results classroom for teaching or commercial purposes or reproduced in any way that infringes the law of copyright. I agree to the above terms and conditions * I agree to the above terms and conditions CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image. Submit