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Consultation Form
Vancouver, Canada
This information is confidential Your Consultation will be answered within 48 hrs. If not, it is because you entered your e-mail incorrectly.
PERSONAL (please fill in all fields in this section)
Name:
E-mail:
(is it correct?)
Age:
City:
Country:
Your Educational Level:
Select One Still in university Bachelors Masters Ph.D.
My area of study is:
My Graduation Date:
Select Date Already Graduated This Year Next Year
I am interested in learning more about the following program
I want to study ......
Select One Medical English + Internship Medical English
I would like to start in ....
Select Start Date Not Sure As soon as possible Next 3 months Next 6 months
My English level is .....
Select One Never studied English before Beginner Elementary Intermediate Advanced
How will you finance your studies?
Select One Personal Funds Family Funds Sponsor Other (no scholarships available)
Why do you want to study Medical English?
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Mr. Gene Whitmer International Educational Adviser Av. Portugal 138-1002 74140-020 Goiânia, GO Brazil Skype: genewhitmer
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