Request Form

A School Details

1 Name of School*

2 School Address*

3 Postcode*

4 Telephone*

5 Type of Establishment*
Junior SchoolPrimary SchoolAfter School Club
6 Contact Email Address*

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B Programme Details
7 Which programme would your establishment be interested in?*
Mandarin ClassesOne-to-One SessionsSmall group SessionsESL/EAL supportAfter School Club
8 Suggested Start Date

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C Further Information
Who is filling out this form?
9 Full Name*

10 Job role/title*

11 Is this the person who must be contacted with regards to all correspondences with UKETS?*
—Please choose an option—YesNo
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D Further Comments

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