ENGLISH LEVEL ASSESSMENT (ELA)
BOOKING FORM
Agent Name: Agent Contact:
Email:
 Who is completing the test?
Student Name: Date: 12/03/2010 12:20:58 AM
 When does the student plan to study at Sarina Russo Schools | Australia?
Proposed Course of Study: Date:  
 When would the student like to do their ELA? -Please tick and provide date
Wednesday 2:30pm - 4:30pm *  Date:    
Friday 2:30pm - 4:30pm *  Date:  
* Finish time is subject to change
Has the student taken the test before?   If yes, when?    
Is the student currently studying at another school?  
If yes, what course/level are they studying? Course:
Level:
(if applicable)
 Has the student taken any of the following English tests? - What was their score? When did they take it?
TOEIC TOEFL IELTS OTHER
Score: Score: Score: Score:
Date:   Date:   Date:   Date: