OFFER ENROLMENT
You can ask for an offer or enrol yourself directly with this form!
 
Name:
Mr Mrs Ms
 
First Name Last Name
Address:
Contact:
Telephone Fax
e-mail
Date of Birth:
Age:
Day Month Year YRS
Nationality:
Occupation:
Languages you speak:
 

COURSE
INFORMATION

    
When do you wish to start your course?
Day Month Year

What kind of Language do you wish to study?

In which City?

How many weeks do

you wish to study?

COURSE TYPE
General:
 3 Hours daily (AM)
 5 Hours daily
 6 Hours daily (PM)
Special Courses:

 

 

 

 

  TOEFL
 Cambridge First Certificate
 Cambridge Advanced
 High Schol Preparation
 M1 Mittelstufe I
 M2 Mittelstufe II
 OS Oberstufe
 Goethe KDS Kleinen Deutschen Sprachdiplom
 Goethe GDS Großen Deutschen Sprachdiplom
 Private Lessons...  Hours per week
 Level:

 
Beginner  Elementary  Intermediate 
Upper Intermediate  Advanced 

ACCOMODATION
INFORMATION

    

Do you want to stay in a HOMESTAY?

  YES NO
How many weeks? 

What type of family

would you prefer?

  Family with older children
 Family with younger children
 Younger couple only
 Older couple only

What type of 

accomodation

would you prefer?

  Apartment
 Student house
 Other type please write details
 

Do you smoke?

  YES NO

Do you have any

medical conditions?
(Please specify)

Is there any food

you cannot eat?

What are your

hobbies/interests?

What type of visa

will you hold?

  Visitor/Tourist
 Working Holiday
 Student
 Permanent Resident
 

TRANSPORT

    
Would you like a transfer from the Airport?  YES NO
When will you be ariving?  Date  Time  Flight no.
Do you wish ticket service?

 YES NO
Day Airport Company
 
   


Where did you hear about our organisation?  Agency Name 
 Website
 Other.......
 

Please let us know in which money you would like to pay
EUR CHF US$ AU$