  Application for Classes: Businesses and Groups
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Cole Institute of Language * PO Box 1613 * Flowery Branch, Georgia 30542 * (678) 971-8089 *shannoncole@coleinstitute.com
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This form will be sent automatically for review. This is an application and not a contract of service. Upon approval of this application you will receive a contract for review by email which you may either accept or reject. If you prefer to fill out a paper application, you may download it from our website. This service is available only in a limited geographic area in Northeast Georgia, USA. If you live outside this area, please try our private online lessons.
Tutoring session rates are explained at http://www.coleinstitute.com/nega.html and do not include a daily $0.40 per travel mile to your location, nor the $2 per person document copying fee. Document copying fee is waived if you allow teacher to make free copies for students on the premises. |
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SECTION A: General information about the kind of session you are requesting.
Instructions: Please complete this entire section. |
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How many students do you wish to enroll?
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How many days a week do you want to meet? |
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Which days of the week do you prefer (eg: Mondays and Tuesdays, Fridays, etc.)?
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At what time of the day do you prefer (eg: after 2 pm, at 7:30 pm, etc)?
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How many total sessions do you want to meet (one time, 5 sessions, 12 sessions, etc.)? |
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How long do you want to meet in each session? |
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On what date would you like to begin the lessons?
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List any known dates, including holidays, closings, or special hours of operation, that will affect the class schedule.
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Describe the specific service needed: |
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SECTION B: Contacting party information.
Instructions: Please complete this section. |
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Contact person: |
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Job title:
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Business name:
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Physical (street) address:
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City, State, Zip:
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Mailing address (if different from above):
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City, State, Zip:
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Contact phone number:
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Contact email address:
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DOCUMENT COPYING FEE |
Will the teacher be able to make copies on location? (Yes/No) |
YES
(If yes, please fill out the next box.)
NO
(If no, a $2 per student fee will be added to each lesson). |
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If yes, please detail the procedure or policy for making copies here (for example: arrive 10 minutes early and give documents to Mr. A; enter copy room and use code 0910 on Machine 3, etc.)
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OTHER FEES |
Travel Expense Fee: |
A travel expense fee per lesson of $0.40 per mile to your location will be added to the final cost. |
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Please provide specific topics, information, or vocabulary that you would like to build this program around:
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SECTION C: Payment information.
Instructions: This is only for our information purposes in order to complete the contract. You will not be billed unless you accept the final contract. |
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Payments must be made in advance. Please choose your method of payment: |
Online by credit card or debit card via Paypal
With a check or money order made out to Cole Institute of Language
By Western Union or Moneygram
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Collection method: |
Payment to be made in full on the first day of class.
Please invoice us. (Provide details in the comment section below). |
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Name of person responsible for the payment of fees. |
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SECTION D: Final comments.
Instructions: Please include any final comments or concerns here. This is also the section to provide details if you wish us to invoice you. |
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Other comments or concerns (including invoicing instructions):
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