Application Form Personal Details Adult Courses

Transcription

Application Form Personal Details Adult Courses
Application Form
Adult Courses
Personal Details
Title:
First name: *
Family name: *
Nationality:
First language:
Date of birth (DD/MM/YYYY):
Passport number:
Issue date:
Expiry date:
Place of issue:
Address:
City:
Postcode:
Country:
Telephone:
Email:
How did you hear about British Study Centres?
* Please provide first and family names as they appear on the passport.
Course
Your level of English: 1
School:
London
Elementary
Oxford
Pre-Intermediate
Brighton
Intermediate
Upper-Intermediate
Advanced
Bournemouth
Start date (DD/MM/YYYY):
Duration (weeks):
General English
General English Plus TOEIC or
TOEFL Preparation 3
G15PM
G20AM
G20PM
G25
G30
TOEFL22
TOEIC22
TOEFL25 (London & Oxford)
TOEIC25 (London & Oxford)
Cambridge FCE or CAE Exam
Preparation 4
FCE20
CAE20
FCE22 (Bournemouth)
CAE22 (Bournemouth)
FCE25
CAE25
Ready for Work, Hotel
Programme 3
G25HP (Bournemouth)
General English + Windsurfing 3
G30W (Brighton)
General English + Football
G26F (London)
General English Plus Business
English 3
IELTS Preparation 2, 4
IE20
IE25
IE30
B20 (not London)
B25
B30
1
4
General English + Cookery 3
Other courses
Private Lessons
Internship (EU students only)
G26C (London)
Please note that we do not run courses for beginners. 2 Minimum entry level: Upper-Intermediate. 3 Minimum entry level: Intermediate.
Subject to pre-test results, please request a pre-test form from a member of Student Services before applying.
Online Lessons
You can add extra live online lessons with a UK-based teacher before or after your course in the UK.
Course type (Minimum level)
When
General English (Pre-Intermediate)
Business English (Pre-Intermediate)
IELTS Preparation (Pre-Intermediate)
TOEFL Preparation (Pre-Intermediate)
TOEIC Preparation (Pre-Intermediate)
FCE Preparation (Upper-Intermediate)
CAE Preparation (Advanced)
Pre-arrival
Post-departure
Group size
Max. 8 students
Max. 4 students
Private
Number of lessons
5 lessons
10 lessons
Disabilities
If you have a disability, medical condition or specific learning difficulty that might affect your studies, it is important that you tell us prior to arrival.
Do you have a disability?
No
Yes (please provide details)
Can you suggest ways in which we can help?
Updated: 23/10/2014
Accommodation
Do you require accommodation?
Yes (please provide your arrival details in the previous section even if you don’t require a transfer)
No
Start date (DD/MM/YYYY):
Duration (weeks):
Type
Description
London
Oxford
Single room, full board
-
-
Brighton
Bournemouth
-
Single room, half board
Single room, breakfast only
Standard Homestay
Single room, self-catering
Shared room, half board
Shared room, breakfast only
Single room, half board
-
Single room, breakfast only
-
Single room, self-catering
-
Twin room, self-catering
-
Executive Homestay
Standard Student
House
-
Single room, self-catering
Superior Student
House
-
-
Double room, self-catering
-
-
-
Twin room, self-catering
-
-
-
-
-
Phoenix Halls
Dorchester
House
Year-Round Residence
Single room, en-suite, self-catering
Summer Residence
Single room, en-suite, self-catering
Student Castle
-
Cavalier House
Slade Park
If booking a homestay, please answer the following questions which will help us find you the most suitable accommodation:
Do you have any allergies?
No
Are you taking any medication?
Yes (please provide details)
No
Yes (please provide details)
Do you have special dietary requirements?
Do you smoke?
No
Yes
No
Yes (please provide details)
Family with children?
Don’t mind
No
Family with a pet?
No
Don’t mind
Arrival & Departure
Do you need a transfer from the airport when you arrive?
Flight no.:
From (airport code):
No
From (airport code):
Standard
To (airport code):
Do you need a transfer to the airport at the end of your course?
Flight no.:
Yes
No
To (airport code):
Executive (Oxford only)
Date:
Yes
Standard
Time:
Executive (Oxford only)
Date:
Oxford executive transfer prices include chauffeur driven luxury car, complimentary newspaper and bottled water.
Time:
Visa Details (Complete this section only if you are required to obtain a visa to study in the UK. Please enclose a copy of your passport)
Type of visa you wish to apply for:
Student Visitor Visa 18+ (SVV)
Extended Student Visitor Visa 18+ (ESVV)
General Student Visa 16+ (GSV) – please complete the GSV Checklist section below
Child Visitor Visa 16-17 (CVV)
General Student Visa (GSV) Checklist
Students who wish to apply for a General Student Visa (GSV) are required to confirm the following:
I have chosen a course of minimum 15 hours per week, e.g. G20 or above.
I have enclosed proof of my English level. We will accept one of the following which states that you have reached minimum level B1 on
Common European Framework of Reference (CEFR): IELTS, BULATS, Cambridge exam or Pearson test certificate. Please contact us if you don’t
have any of these. For more information about CEFR visit http://www.cambridgeesol.org/exams/exams-info/cefr.html. Students below level B1
should apply for a Student Visitor Visa and then return home and apply for a GSV once they have reached this level.
I have paid all fees in full.
Please note: We will not be able to accept your booking unless all the above requirements are met.
Express Mail (SVV, ESVV & CVV)
Please tick this box if you wish to receive the original course confirmation documents by express mail for an additional fee of £20. Please specify
the contact name, telephone number and delivery address, if different from those provided above:
Contact name:
Telephone:
Address:
City:
Postcode:
Country:
Sponsorship
It is important we know if your fees are being funded by a sponsor, for example, an embassy or private company.
Are you a sponsored student?
Yes
No
If yes, please provide details:
Fees
Please send the fees in full at the time of application, or a £250 deposit
to reserve your place on a course. If you only pay the deposit the
remaining fees should be paid in full no later than the first day of your
course.
NB Until we receive a deposit we cannot reserve a place for you, nor
arrange accommodation.
Course fee:
£
Registration fee: £50
£50.00
Online lessons fee:
£
Tier 4 administration fee & compulsory (SELT)
exam: £195
£
Express mail: £20
£
Accommodation fee:
£
Accommodation finding fee: £45 (£75 if under 18)
£
Airport transfer:
£
Total:
£
NB If you transfer money through the bank, you must give the student’s
name and invoice number. Please send a copy of the bank transfer
receipt along with this form.
Sterling Cheque
Credit Card
Card number:
Please tick this box to indicate that all booking details above are
correct and you have read and accept the Booking Conditions below.
Today’s date (DD/MM/YYYY):
Bank Transfer (Add £15 to the total)
Bank of Scotland, 300 Lawnmarket, Royal Mile, Edinburgh EH1 2PH
Sort Code: 12-12-68, Account No. 00170940
IBAN GB10 BOFS 1212 6800 1709 40, SWIFT BIC BOFSGB21248
Issue date (MM/YY):
Expiry date (MM/YY):
CVV (three last digits on the back of the card):
Name & address of card holder:
Booking Conditions
Conditions of Enrolment
Amendment Charges
1. All course fees must be received before the
course starts. Sometimes it can take several
days for the money to arrive if you send it
through the banks. It is your responsibility to
make sure that it arrives in time. All PayPal or
bank charges must be paid by the students.
1. An administration fee of £25 will apply for
students wishing to change their course.
2. The school reserves the
admission to any student or
student in the event of
unsatisfactory attendance or
work, without refund of fees.
right to refuse
to dismiss any
misconduct or
timekeeping or
3. Travel, examination fees and the costs of
social activities are not included in the fees.
4. No liability is accepted by the school for
loss of property or damage to property. We
strongly recommend students to take out
insurance to cover their possessions, as well
as medical insurance for themselves.
5. We reserve the right to cancel or alter a
course or to change course timings. If we do
so, we will offer an alternative course or a
refund.
6. Holiday allowance: 1 week per 12 weeks
studied.
7. Students should arrive Saturday or Sunday
at their accommodation. For students wishing
to arrive on a Monday, Tuesday or
Wednesday, one full week's accommodation
charge will apply. For students arriving from
Thursday onwards a nightly rate will apply
(weekly rate divided by 7). All midweek
arrivals are subject to availability and may not
be possible year-round – please check before
booking.
8. We will confirm courses on the basis of
receiving a deposit of £250.
2. For students wishing to change school
location, e.g. from London to Oxford, a second
registration fee will not be charged. However,
students
wishing
to
book
additional
accommodation will be charged a £45
accommodation finding fee.
3. Students wishing to move to another British
Study Centres school will not gain credit if
changing to a school with lower fees.
4. Once the course has started students can
upgrade the number of lessons per week but
cannot downgrade it.
Cancellation Charges
1. If a course is cancelled more than 1 week
before the start date, there is a £50
administration charge. If accommodation has
also been arranged, there is an additional
accommodation finding fee of £45.
2. If the course is cancelled less than 1 week
before the start date, there is an
administration
charge
of
£50.
If
accommodation has been arranged, there is a
cancellation charge of the accommodation
finding fee plus one week's accommodation
charge.
3. If a course is cancelled less than 24 hours
before the course starts or after the student
has started there is no refund in any
circumstances. If the course is longer than 4
weeks, a credit will be given for the unused
part of the course after 4 weeks. This may be
used within one year and cannot be
transferred to another student.
Please send your completed form to one of the following addresses:
For London bookings:
British Study Centres London
Hannah House, 13-16 Manchester Street,
London W1U 4DJ
Tel: +44 (0)20 7317 0160
Fax: +44 (0)20 7317 0161
Email: [email protected]
For Oxford bookings:
British Study Centres Oxford
Oxenford House, 13-15 Magdalen Street,
Oxford OX1 3AE
Tel: +44 (0)1865 246620
Fax: +44 (0)1865 246857
Email: [email protected]
For Brighton bookings:
British Study Centres Brighton
Fairfax House, 47 Cromwell Road,
Brighton & Hove, East Sussex BN3 3ER
Tel: +44 (0)1273 229740
Fax: +44 (0)1273 208401
Email: [email protected]
For Bournemouth bookings:
British Study Centres Bournemouth
Bristol & West House, 1st Floor, Post Office Road,
Bournemouth, BH1 1BL
Tel: +44 (0)1202 587100
Fax: +44 (0)1202 314979
Email: [email protected]
4.
If
homestay
or
student
house
accommodation is cancelled after a student
has arrived at the accommodation, two weeks'
notice must be given, or two weeks'
accommodation charge paid. If a student
requests to change accommodation, an
additional accommodation finding fee will be
charged. If a student decides to leave the
accommodation and asks for a refund, this will
be possible for those weeks remaining as long
as two weeks' notice is given.
5. Students wishing to extend their
accommodation must give 2 weeks' notice.
We cannot guarantee the availability of the
same homestay. A £45 accommodation
finding fee will be charged in the event that the
same accommodation is not available and an
alternative must be found.
6. If a student cancels a residence, fees will
not be refunded.
7. If a student cancels a course because they
are unable to get a visa and they can provide
written evidence of this from the relevant
Embassy or Consulate, we will make an
administration charge of £50, but we will
refund all course fees. Accommodation
charges apply as above.
Force Majeure
In the event of 'force majeure' such as fire,
flooding, infectious diseases and other events
outside the company's reasonable control
which may cause the closure of the school, no
refund of fees will be made to students, except
at the school's discretion in exceptional
circumstances.