|
If you would like to apply to Studio Cambridge, just print out, complete
and send the application form below to the Studio School, either by fax
or post: |
Studio School of English, Cambridge |
|
| Information about you | |
| First Name:
|
............................................... |
| Family Name:
|
.............................................. |
| Sex:
|
Male.......... Female ............. |
| Date of Birth:
|
Date.........Month.....................Year...... |
| 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 (tick one): | Course 1: St Christopher's, Homestay, ages 16-20...................... Course 2: St Christopher's, Residential, ages 16-20....................... Course 3: St Michael's, 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 14-17................... |
| Course start date:
|
Date........Month......................Year....... |
| Course end date:
|
Day........Month.......................Year.........No. weeks......... |
| Your current level of English: (if you are unsure about your level, click here for descriptions) | Beginner........... Elementary........... 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 at the school at least four weeks before the start of your course. | |
| If your course starts more than four weeks after sending
us this application You can send us: Either |
|
| The deposit of £300 now and the remainder of the total fees at least four weeks before the start of your course. Or The total fees now |
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 (tick one): | Cheque drawn on a UK bank......... Bank transfer........... Credit card............ |
| Cheques should be sent to: | Studio Cambridge, 6 Salisbury Villas, Station Road, Cambridge CB1 2JF England |
| Bank transfers should be made to: | |
| Account Name: Account Number: Bank Name: Sort Code: Bank Address: |
Studio Language Courses (Cambridge) Ltd 30885509 Barclays Bank plc 20-17-35 PO Box 326, Cambridge CB4 3UT |
| Giros should be paid to: | |
| Studio Language Courses (Cambridge) Ltd Account Number: 280 5251 Sort Code: 72-08-06 |
|
| If you want to pay by credit card: | |
| Please give the details opposite: |
Card Security number............................. ............................................. |
| * 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. | |
| In signing this application form, I confirm my understanding of, and agreement with, the Terms and conditions of Studio Language Courses (Cambridge) Ltd. 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, except as detailed in a separate letter enclosed with this application. | |
| Signature: | |
| Date: | Day..........Month.................................Year............. |
| If you are the applicant's parent or guardian, please complete the rest of this section. | |
| Relationship to Applicant (mother, father, legal guardian, etc): | ............................................. |
| Name:
|
....................................................... |
| Home Address: (If different from that of the applicant) |
...................................................... ....................................................... ........................................................ ......................................................... ........................................................ |
| Home telephone number:
|
......................................................... |
| Work telephone number:
|
.................................................... |
| Fax:
|
...................................................... |
| 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 2JF Fax number: +(44) 1223 324605 |
|
| Your journey to England | |
| Airline name:
|
................................................ |
| Flight number:
|
.................................. |
| Departs from | |
| Airport in your country:
|
...................................... |
| Date of departure:
|
Date.......Month......................Year........ |
| Time of departure (local time):
|
.......................... |
| Arrives at (tick one) | London Heathrow.......... London Gatwick............. London Stansted............. Other (please specify)................................................. |
| If "Other" please specify:
|
..................................... |
| Date of arrival in London:
|
Date.......Month........................Year....... |
| Time of arrival in London:
|
................ |
Introduced by Chris Wright, Cambridge
Language Consultants |
|