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Mount Maunganui Language Centre
Application Form


 The School
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  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)
Do you smoke? (choose one)
Do you have any health problems?
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)
If you want an activity course, specify the activity:
Level of English (choose one)
Arrival date:
Arrival time (if known)
Flight number (if known)
Do you want us to arrange your airport meeting and transfer to Tauranga?
If you want a transfer, how do you want to travel?
Course start date:
Course end date:
Total number of weeks:
   
C. Accommodation Details
   
Do you wish to stay with a New Zealand family?
If yes:
 
 
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?
Do you want us to send insurance information to you?
   
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
   

 

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