Custom Group ESL Program Request Form

Name of Group:
Country: *
Native Language: *

Contact Information
Full Name: *
Mailing Address: *
Phone Number: *
Email Address: *


Background Information
Participants' Profession(s):
Participants' Age Range:
Participants' average number of years studying English:

Program Specific Information
Total number of weeks? *
Total hours per week? *

Subject matter (check all that apply):









Skills and abilities to focus on:

On-site Experience (check all that apply):




Housing (check all that apply):



Additional Cultural Experiences Desired:

Each group will experience local area culture as a component of any ESL group coming to MSU Billings. These trips below are considered additional opportunities due to the organization and personnel commitments. Please note that each of these will be offered during the weekends.
(includes white-water rafting and horseback riding) at $250 per person for three days.
in South Dakota at $300 per person for three days.
in Montana at $400 per person for four days.

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