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Mount Maunganui Language Centre
Application Form
The School
The Teaching
The Courses
The Services
The Accommodation
Download Terms and Conditions
The Town
Online Application Form
Download a Printable Application Form
Prices for 2001
Frequently asked questions
If you would like to apply now, just complete and submit the application form below. It is recommended that you read about the
fees for 2001
and the
FAQ
before completing the form.
Mount Maunganui Language Centre, New Zealand
Application to Study English
A. Personal Details
Full Name:
Address:
Telephone number:
Fax number:
Email address:
Date of Birth:
Occupation:
Nationality:
Sex (choose one)
Male
Female
Do you smoke? (choose one)
Yes
No
Do you have any health problems?
Yes
No
If you do have any health problems please describe them here:
Describe any hobbies, sports or leisure activities you enjoy:
Please give details of someone we can contact if there is an emergency:
Name of emergency contact:
Address of emergency contact:
Telephone number of emergency contact:
B. Tuition and Travel Details
Type of course (choose one)
Full Time
Part Time
Exam
High School Preparation
Activity
If you want an activity course, specify the activity:
Level of English (choose one)
Beginner
Fair
Good
Arrival date:
Arrival time (if known)
Flight number (if known)
Do you want us to arrange your airport meeting and transfer to Tauranga?
Yes
No
If you want a transfer, how do you want to travel?
Air
Bus
Course start date:
Course end date:
Total number of weeks:
C. Accommodation Details
Do you wish to stay with a New Zealand family?
Yes
No
If yes:
In Mount Maunganui town
In a rural location
Family with children
Family without children
Family with animals
Family without animals
Is there any food you cannot eat?
*Note: This is the official form of Cambridge Language Consultants for an application to study English at Mt Maunganui Language Centre. Any application received from a printed version of this form will be treated as having come from Cambridge Language Consultants.
D. Insurance Details
Will you arrange full insurance before you arrive?
Yes
No
Do you want us to send insurance information to you?
Yes
No
Notes:
Insurance is compulsory for all students.
Please arrange payment of your tuition fees at least two weeks before your arrival.
If you cancel before classes commence, all tuition fees and your airport transfer fee will be refunded. Your registration fees will not be refunded
I agree to abide by the rules of the school:
I agree
I do not agree
© Cambridge Language Consultants 2001-2008
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