Application Form Personal Details Adult Courses
Application Form Adult Courses Personal Details Title: First name: * Family name: * Nationality: First language: Date of birth (DD/MM/YYYY): Passport number: Issue date: Expiry date: Place of issue: Address: City: Postcode: Country: Telephone: Email: How did you hear about British Study Centres? * Please provide first and family names as they appear on the passport. Course Your level of English: 1 School: London Elementary Oxford Pre-Intermediate Brighton Intermediate Upper-Intermediate Advanced Bournemouth Start date (DD/MM/YYYY): Duration (weeks): General English General English Plus TOEIC or TOEFL Preparation 3 G15PM G20AM G20PM G25 G30 TOEFL22 TOEIC22 TOEFL25 (London & Oxford) TOEIC25 (London & Oxford) Cambridge FCE or CAE Exam Preparation 4 FCE20 CAE20 FCE22 (Bournemouth) CAE22 (Bournemouth) FCE25 CAE25 Ready for Work, Hotel Programme 3 G25HP (Bournemouth) General English + Windsurfing 3 G30W (Brighton) General English + Football G26F (London) General English Plus Business English 3 IELTS Preparation 2, 4 IE20 IE25 IE30 B20 (not London) B25 B30 1 4 General English + Cookery 3 Other courses Private Lessons Internship (EU students only) G26C (London) Please note that we do not run courses for beginners. 2 Minimum entry level: Upper-Intermediate. 3 Minimum entry level: Intermediate. Subject to pre-test results, please request a pre-test form from a member of Student Services before applying. Online Lessons You can add extra live online lessons with a UK-based teacher before or after your course in the UK. Course type (Minimum level) When General English (Pre-Intermediate) Business English (Pre-Intermediate) IELTS Preparation (Pre-Intermediate) TOEFL Preparation (Pre-Intermediate) TOEIC Preparation (Pre-Intermediate) FCE Preparation (Upper-Intermediate) CAE Preparation (Advanced) Pre-arrival Post-departure Group size Max. 8 students Max. 4 students Private Number of lessons 5 lessons 10 lessons Disabilities If you have a disability, medical condition or specific learning difficulty that might affect your studies, it is important that you tell us prior to arrival. Do you have a disability? No Yes (please provide details) Can you suggest ways in which we can help? Updated: 23/10/2014 Accommodation Do you require accommodation? Yes (please provide your arrival details in the previous section even if you don’t require a transfer) No Start date (DD/MM/YYYY): Duration (weeks): Type Description London Oxford Single room, full board - - Brighton Bournemouth - Single room, half board Single room, breakfast only Standard Homestay Single room, self-catering Shared room, half board Shared room, breakfast only Single room, half board - Single room, breakfast only - Single room, self-catering - Twin room, self-catering - Executive Homestay Standard Student House - Single room, self-catering Superior Student House - - Double room, self-catering - - - Twin room, self-catering - - - - - Phoenix Halls Dorchester House Year-Round Residence Single room, en-suite, self-catering Summer Residence Single room, en-suite, self-catering Student Castle - Cavalier House Slade Park If booking a homestay, please answer the following questions which will help us find you the most suitable accommodation: Do you have any allergies? No Are you taking any medication? Yes (please provide details) No Yes (please provide details) Do you have special dietary requirements? Do you smoke? No Yes No Yes (please provide details) Family with children? Don’t mind No Family with a pet? No Don’t mind Arrival & Departure Do you need a transfer from the airport when you arrive? Flight no.: From (airport code): No From (airport code): Standard To (airport code): Do you need a transfer to the airport at the end of your course? Flight no.: Yes No To (airport code): Executive (Oxford only) Date: Yes Standard Time: Executive (Oxford only) Date: Oxford executive transfer prices include chauffeur driven luxury car, complimentary newspaper and bottled water. Time: Visa Details (Complete this section only if you are required to obtain a visa to study in the UK. Please enclose a copy of your passport) Type of visa you wish to apply for: Student Visitor Visa 18+ (SVV) Extended Student Visitor Visa 18+ (ESVV) General Student Visa 16+ (GSV) – please complete the GSV Checklist section below Child Visitor Visa 16-17 (CVV) General Student Visa (GSV) Checklist Students who wish to apply for a General Student Visa (GSV) are required to confirm the following: I have chosen a course of minimum 15 hours per week, e.g. G20 or above. I have enclosed proof of my English level. We will accept one of the following which states that you have reached minimum level B1 on Common European Framework of Reference (CEFR): IELTS, BULATS, Cambridge exam or Pearson test certificate. Please contact us if you don’t have any of these. For more information about CEFR visit http://www.cambridgeesol.org/exams/exams-info/cefr.html. Students below level B1 should apply for a Student Visitor Visa and then return home and apply for a GSV once they have reached this level. I have paid all fees in full. Please note: We will not be able to accept your booking unless all the above requirements are met. Express Mail (SVV, ESVV & CVV) Please tick this box if you wish to receive the original course confirmation documents by express mail for an additional fee of £20. Please specify the contact name, telephone number and delivery address, if different from those provided above: Contact name: Telephone: Address: City: Postcode: Country: Sponsorship It is important we know if your fees are being funded by a sponsor, for example, an embassy or private company. Are you a sponsored student? Yes No If yes, please provide details: Fees Please send the fees in full at the time of application, or a £250 deposit to reserve your place on a course. If you only pay the deposit the remaining fees should be paid in full no later than the first day of your course. NB Until we receive a deposit we cannot reserve a place for you, nor arrange accommodation. Course fee: £ Registration fee: £50 £50.00 Online lessons fee: £ Tier 4 administration fee & compulsory (SELT) exam: £195 £ Express mail: £20 £ Accommodation fee: £ Accommodation finding fee: £45 (£75 if under 18) £ Airport transfer: £ Total: £ NB If you transfer money through the bank, you must give the student’s name and invoice number. Please send a copy of the bank transfer receipt along with this form. Sterling Cheque Credit Card Card number: Please tick this box to indicate that all booking details above are correct and you have read and accept the Booking Conditions below. Today’s date (DD/MM/YYYY): Bank Transfer (Add £15 to the total) Bank of Scotland, 300 Lawnmarket, Royal Mile, Edinburgh EH1 2PH Sort Code: 12-12-68, Account No. 00170940 IBAN GB10 BOFS 1212 6800 1709 40, SWIFT BIC BOFSGB21248 Issue date (MM/YY): Expiry date (MM/YY): CVV (three last digits on the back of the card): Name & address of card holder: Booking Conditions Conditions of Enrolment Amendment Charges 1. All course fees must be received before the course starts. Sometimes it can take several days for the money to arrive if you send it through the banks. It is your responsibility to make sure that it arrives in time. All PayPal or bank charges must be paid by the students. 1. An administration fee of £25 will apply for students wishing to change their course. 2. The school reserves the admission to any student or student in the event of unsatisfactory attendance or work, without refund of fees. right to refuse to dismiss any misconduct or timekeeping or 3. Travel, examination fees and the costs of social activities are not included in the fees. 4. No liability is accepted by the school for loss of property or damage to property. We strongly recommend students to take out insurance to cover their possessions, as well as medical insurance for themselves. 5. We reserve the right to cancel or alter a course or to change course timings. If we do so, we will offer an alternative course or a refund. 6. Holiday allowance: 1 week per 12 weeks studied. 7. Students should arrive Saturday or Sunday at their accommodation. For students wishing to arrive on a Monday, Tuesday or Wednesday, one full week's accommodation charge will apply. For students arriving from Thursday onwards a nightly rate will apply (weekly rate divided by 7). All midweek arrivals are subject to availability and may not be possible year-round – please check before booking. 8. We will confirm courses on the basis of receiving a deposit of £250. 2. For students wishing to change school location, e.g. from London to Oxford, a second registration fee will not be charged. However, students wishing to book additional accommodation will be charged a £45 accommodation finding fee. 3. Students wishing to move to another British Study Centres school will not gain credit if changing to a school with lower fees. 4. Once the course has started students can upgrade the number of lessons per week but cannot downgrade it. Cancellation Charges 1. If a course is cancelled more than 1 week before the start date, there is a £50 administration charge. If accommodation has also been arranged, there is an additional accommodation finding fee of £45. 2. If the course is cancelled less than 1 week before the start date, there is an administration charge of £50. If accommodation has been arranged, there is a cancellation charge of the accommodation finding fee plus one week's accommodation charge. 3. If a course is cancelled less than 24 hours before the course starts or after the student has started there is no refund in any circumstances. If the course is longer than 4 weeks, a credit will be given for the unused part of the course after 4 weeks. This may be used within one year and cannot be transferred to another student. Please send your completed form to one of the following addresses: For London bookings: British Study Centres London Hannah House, 13-16 Manchester Street, London W1U 4DJ Tel: +44 (0)20 7317 0160 Fax: +44 (0)20 7317 0161 Email: london@british-study.com For Oxford bookings: British Study Centres Oxford Oxenford House, 13-15 Magdalen Street, Oxford OX1 3AE Tel: +44 (0)1865 246620 Fax: +44 (0)1865 246857 Email: oxford@british-study.com For Brighton bookings: British Study Centres Brighton Fairfax House, 47 Cromwell Road, Brighton & Hove, East Sussex BN3 3ER Tel: +44 (0)1273 229740 Fax: +44 (0)1273 208401 Email: brighton@british-study.com For Bournemouth bookings: British Study Centres Bournemouth Bristol & West House, 1st Floor, Post Office Road, Bournemouth, BH1 1BL Tel: +44 (0)1202 587100 Fax: +44 (0)1202 314979 Email: bournemouth@british-study.com 4. If homestay or student house accommodation is cancelled after a student has arrived at the accommodation, two weeks' notice must be given, or two weeks' accommodation charge paid. If a student requests to change accommodation, an additional accommodation finding fee will be charged. If a student decides to leave the accommodation and asks for a refund, this will be possible for those weeks remaining as long as two weeks' notice is given. 5. Students wishing to extend their accommodation must give 2 weeks' notice. We cannot guarantee the availability of the same homestay. A £45 accommodation finding fee will be charged in the event that the same accommodation is not available and an alternative must be found. 6. If a student cancels a residence, fees will not be refunded. 7. If a student cancels a course because they are unable to get a visa and they can provide written evidence of this from the relevant Embassy or Consulate, we will make an administration charge of £50, but we will refund all course fees. Accommodation charges apply as above. Force Majeure In the event of 'force majeure' such as fire, flooding, infectious diseases and other events outside the company's reasonable control which may cause the closure of the school, no refund of fees will be made to students, except at the school's discretion in exceptional circumstances.
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