Course Application – The Language School

First Name *

Last Name *

Date of Birth *

Phone Number *

Country *

Gender *

Select a course *

Are you a person with disability

Any medical conditions?

Who pays fee?

How did you here about us?

Religion

Referral name

Referral phone number

Uploads *

Upload ID/Birth and KCSE/Result Slip You can upload up to 2 files.

Email