|
Application Form |
|
Personal Details |
|
Family name |
|
|
Given names |
|
|
Nationality |
|
|
Date of birth |
|
|
|
Male
Female |
|
Address in home country
(include post code and country) |
|
|
Telephone in home country |
|
|
Fax in home country |
|
|
E-mail address |
|
|
Course Selection |
|
Location |
Check your course is available
at the centre you choose. Refer to the School's courses and programs. |
|
Please indicate your choice of
country
|
|
|
Preference Course 1 |
|
|
Preference Course 2 |
|
|
Commencement date Check
schools' data if unsure |
|
|
Your Accommodation |
|
Do you want assistance in
obtaining accommodation? |
No
Yes |
|
What type of accommodation do
you need? |
Homestay
School Residence |
|
Length of stay (weeks) |
|
|
Do you smoke? |
No
Yes |
|
Please list any special medical
or dietary conditions you might have |
|
|
Do you require airport pick-up
and transfer? |
No |
|
|
Yes |
|
|
|
|
Date |
|
|
|
Time |
|
|
|
Airport |
|
|
|
Airline |
|
|
|
Flight number |
|
|
International Student Details |
|
English Language Proficiency |
|
|
Please enter score or grade |
TOEFL |
|
|
|
IELTS |
|
|
|
Other |
|
|
Is your verbal English |
Fluent
Good |
Fair
Weak |
|
|
Is your written English |
Good
Fair |
Weak |
|
|
|
|
|
|
NOTE:The school reserves
the right to vary fees, curriculum and timetables without prior notice. |
|
This section is for Applicants under 18 years of age |
|
Please print this form, sign and
mail it to the school directly. |
|
|
|
|
|
_________________________________ |
___________________ |
|
|
Signature of applicant |
Date |
|
|
_________________________________ |
___________________ |
|
|
Signature of parent or guardian
(if applicant is under 18 years of age) |
Date |
|