Studio School
of English, Cambridge
Information about
you
First Name:
Family 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
Do you have any special health needs, dietary
needs or allergies? Please tell us about them
here.
About your course
Course name:
Course 1: St Christopher's Homestay, ages
16-20
Course 2: St Christopher's Residential,
ages 16-20
Course 3: St Michaels, Homestay,
ages 14-16
Course 4: St Michael's, Residential,
ages 14-16
Course 5: St Helen's, Bishop's Stortford,
Residential, ages 10-14
Course 6: St George's,
Homestay, ages 10-14
Course start date:
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Course end date:
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Duration of course (weeks):
1 week (minimum)
2 weeks (minimum)
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
9 weeks
10 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
Payment of Fees
Please refer to the Young
Learners Course Dates and Fees before completing
this part of the form.
Total Fees for the course £
When to Pay Your
Fees
All fees must be received by Studio
Cambridge at least four weeks before the start
of your course.
If your course starts more
than four weeks after sending us this application
The deposit of £300 now and
the remainder of the total fees at least four
weeks before you start your course.
Or
The total fees now
I will send the 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
and signature
If you are under 18 years of
age, please ask your parent or guardian to complete
this section.
I understand that by enrolling on a Studio
course I cofirm 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 the applicant is in good health
and does not suffer from any physical, mental
or nervous illness or disability, except as
detailed here:
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If you are the applican'ts
parent or guardian, please complete the rest
of this section.
Relationship to Applicant (mother, father,
legal guardian, etc):
Name:
Home 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 student'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:
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Time of departure (local time):
Arrives at
London Heathrow
London Gatwick
London Stansted
Other
If "Other" please specify:
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Time of arrival in London:
