Studio School
of English, Cambridge
Information about
you
Title: (choose one)
Mr
Mrs
Miss
Ms
Dr
Prof
Rev
Sir
First Name:
Last Name:
Sex:
Male
Date of Birth:
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Nationality:
The language you speak at home:
Home Address:
Home telephone:
Daytime telephone:
Fax:
E-mail:
Do you smoke?
Yes
No
About your course
Course name:
EFL 20
EFL 28
Cambridge Examination Course CAM-28
IELTS Examination Course IELTS-28
If your course is EFL-28, please choose your
afternoon option:
Option 1: Language Skills
Option 2: English for Business
Option 3: IELTS Preparation
Option 4: TOEIC Preparation
If your course is a Cambridge Examination
course, please specify which examination you
wish to study for:
FCE
CAE
You can take private lessons either as a course
on their own, or as a supplement to another
Studio course. If you want Private Tuition,
please tell us how many lessons per week you
would like:
Course start date:
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Course end date:
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;
Duration of course:
2 weeks (minimum)
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46 weeks
47 weeks
48 weeks
49 weeks
50 weeks
51 weeks
52 weeks
Your current level of English: (if
you are unsure about your level, click here
for descriptions )
Beginner
Elementary
Lower Intermediate
Intermediate
Upper Intermediate
Advanced
Accommodation
Do you wish Studio to arrange your accommodation?
(If you will be studying on a residential course,
please choose "N/A".)
N/A
Yes
No
If yes, please choose:
Homestay Three Star (no extra charge)
Homestay Four Star (add £25
per week)
Homestay Five Star (add £110
per week)
Do you have any special health needs, dietary
needs or allergies? Please tell us about them
here.
Meeting on Arrival
and Transfer to Cambridge
Do you wish Studio to arrange a car or taxi
to meet you on arrival:
Yes
No
If "Yes", at which airport or seaport
will you be arriving?
London Heathrow
London Gatwick
London Stansted
London Luton
Please send us your arrival details
(airline, flight number, date, time of arrival,
etc.) at least seven days before arrival.
Calculating Your
Fees
Please refer to the Course
Dates and Fees before completing this part
of the form. Please fill in all boxes.
Total Fees
A. Registration Fee (Paid once ) £50£50
B. Total fees per week =
£
C. Homestay Four Star: (Add £30
per week)£
D. Homestay Five Star: (Add £110
per week)£
E. Arrival Transfer Fee (See
Course Dates and Fees ):£
F. TOTAL = A+B+C+D+E £
Less Optional Deductions
G. No insurance required (Deduct £3
per week)£-
H. No accommodation required (Deduct
£90 per week) £-
I. TOTAL DEDUCTIONS = G+H £-
GRAND TOTAL (F - I) £
When to Pay Your
Fees
All fees must be received by Studio
Cambridge no less than fourweeks before the
start of your course.
If your course starts more
than four weeks after sending us this application
The registration fee of £50 and a deposit
of £250 (total £300). The remainder
of the fee must be paid no less than four weeks
before you start your course.
I will send the registration fee and
deposit now
I will send all fees now
If your course starts less
than four weeks after sending us this application
form
You must send the Total Fees as soon as possible
.
I will send the Total Fees now
If you send payment by bank
transfer, please send a copy of the transaction
by fax or post.
How to Pay Your
Fees
Payment must be in £
Sterling, by cheque drawn on a UK bank, bank
transfer or credit card. Please indicate your
choice below.
I wish to pay by:
Cheque drawn on a UK bank
Bank transfer
Credit card (I will post or fax details)
Bank transfers should be made to:
Account Name:
Studio Language Courses (Cambridge) Ltd
Giros should be paid to:
Studio Language Courses (Cambridge) Ltd
If you want to pay by credit card:
Fax the details opposite to the
Studio School:
Full Name
* If paying by American Express,
please add 2% to the total fees to cover part
of the costs charged by American Express.
Your agreement
If you are under 18, please ask
your parent or guardian to complete this section.
I understand that by enrolling on a Studio
course I confirm my understanding of, and agreement
with, the Terms and Conditions of Studio Language
Courses (Cambridge) Ltd.
View Terms and conditions now. I confirm
that I am the applicant (if aged 18 or more
years) or the applicant's parent or legal guardian
(if the applicant is under 18 years of age).
I confirm that I am in good health and do
not suffer from any physical, mental or nervous
illness or disability, except as detailed here:
Date of confirmation
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If you are the applicant's
guardian or parent, please complete the rest
of this section.
Relationship to Applicant (mother, father,
legal guardian, etc):
Name:
Address:
Home telephone number:
Work telephone number:
Fax:
Would you like Studio to send you a brochure?
Yes
No
Your Journey To
England
If you already know your flight
arrangements, please provide this information
now. If you do not yet have this information,
please send or fax it to the Studio School to
arrive no later than seven days before your
arrival date. Remember to include the applicant''s
name if you send us the information later:Postal address: Studio Cambridge,
6 Salisbury Villas, Station Road, Cambridge
CB1 2JFFax number: +(44) 1223 324605
Your journey to England
Airline name:
Flight number:
Departs from
Airport in your country:
Date of departure:
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Time of departure (local time):
Arrives at
London Heathrow
London Gatwick
London Stansted
Other
If "Other" please specify:
Date of arrival in London:
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Time of arrival in London:
