Friend-of-Poly Referral Program

Share the Gift of English Language

Thank you for considering referring someone to Poly Languages Institute! Your recommendations are highly valued, as our current and past students often make the best referrals. Please take a moment to provide us with the following information about the person you wish to refer. Your referral will help us connect with individuals who may be interested in learning English and joining our institute.

Friend-of-Poly Promo

As a token of our appreciation, we are delighted to offer the Friend-of-Poly promo. For every student you refer who enrolls with us, you will receive a $100 tuition credit. Additionally, each student on this list will receive a $50 tuition credit. This initiative is our way of expressing gratitude for your support in spreading the joy of learning English at Poly Languages Institute.

We greatly appreciate your support and thank you for helping us grow our community of English learners!

Please proceed to fill out the referral form below:

Referrer (Your Information)

Name *

First

Last

Layout

Email *

Select Advisor *— Select One —AbigailAnneAryaJenniferJessaJuliaMaggieShalimarYuriOther

Please select the advisor as the contact person for your referrals.

Phone *

State Your Advisor *

If the advisor you prefer is not listed, please state the name of the advisor.

Referrals (People you want to encourage to study.)

No of Referrals? *

• 1
• 2
• 3
• 4
• 5+

How many individuals would like to refer to Poly Languages? List all referrals you wish your advisor to contact. State their name, email address, phone number, and on the note section, state anything you want your advisor to know about the referrals, such as their relationship to you, English proficiency, etc.

R1

Name 1 *

Email 1 *

Phone 1

Note 1

Anything you want your advisor to know.

R2

Name 2 *

Email 2 *

Phone 2

Note 2

R3

Name 3 *

Email 3 *

Phone 3

Note 3

R4

Name 4 *

Email 4 *

Phone 4

Note 4

Additional Referrals (5+) *

List all additional referrals you wish your advisor to contact. State their name, email address, phone number, and anything you want your advisor to know about them.

Note to Your Advisor

Acknowledgement *

• By submitting this referral, I confirm that I have obtained the referral’s consent to share their contact information with Poly Languages Institute for the purpose of learning more about their English language programs. If you have any questions or need further assistance, please don’t hesitate to contact us.

Submit