Language
English (US)
Chinese
Thank you for filling this out!
This will help us begin our new learning journey together.
Are you an existing student or a potential new student
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Existing student (I have already signed up for classes.)
New student (I'm ready to sign up for classes.)
I'm interested in learning more.
Your Name?
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Your Email Address
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example@example.com
Wechat ID
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Alternative contact
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Phone, Facebook, Second email
Student's Name
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Student's Age
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Student Birthday
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Month
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Day
Year
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Student is...
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Male
Female
Student's English level or description of skills
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How did you find me?
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WeChat, Facebook, another student/parent, VIPKid
How can I help you?
Please tell me how I can serve you.
What type of classes are you interested in for your child?
Individual Lessons
Small Group Lessons
I am interested in...
Curriculum based lessons (Phonics, Grammar, Vocabulary, Reading, Sentence Structure)
Free Talk/casual discussion lessons
Book reading lessons with an emphasis on comprehension, writing, and discussion
Singing and learning
Play and learn lessons (play a game, imaginative play, show and share)
Adult classes
What English curriculum are you most interested in?
What are some of the student's favorite things?
Favorite classes at school, hobbies and sports interests, favorite foods, movie or TV characters, music interests.
What are the student's learning goals?
What are the priorities and desired learning outcomes?
Why does the student want to learn English?
What day or days of the week are you usually available for classes
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What times (BJT) are you usually available for classes
7am - 8am
8am - 9am
6pm - 7pm
7pm - 8pm
9pm and later
Other
Why are you interested in having a class or continuing classes with Teacher Cheryl?
If you've had a class with me before, what did you like about it?
Is there anything else I should know?
Please share a picture of you with me.
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