English Learning Center

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Last Name/Family Name* A value is required.
Middle Name
Home Address* A value is required.
City* A value is required.
Country* A value is required.
Country Code + Home Phone* A value is required.
Country Code + Parent Phone
Country Code + Mobile Phone
Email Address* A value is required.
Email Address 2
Birthdate*

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Day Month Year
Gender*    
Are you a UAE National?
If not, will you need a visa to study at RIT Dubai?* Yes No
Type of current Visa* A value is required.
Passport Number* A value is required.
Country of Citizenship* A value is required.
Country of Permanent Residence* A value is required.
City and Country of Birth* A value is required.
Year you plan to begin in the English Learning Center* A value is required.
I can start*
 Fall (September)
 Winter (November)
 Spring (March)
 Summer I (June)
 Summer II (July)
I am interested in learning: (Check all that apply)*
English and Earning a Degree at RIT Dubai
English for International Students
English for Professionals
English for Self Improvement/Personal Interest
Please indicate your present knowledge of English*
Good   Fair   Poor
Good   Fair   Poor
Good   Fair   Poor
Good   Fair   Poor
TOEFL Score (Optional)   
IELTS Score (Optional)   
Have you ever been disciplined by a school or convicted of breaking the law?* Yes No
If the answer is yes, please explain
How did you first learn about RIT Dubai (website, e-mail, brochure, exhibitions, HS Visit, etc)
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