重要:

お申込み前に、申込み規約及び服務規程、2017年祝祭日をよくお読みください。 conditions of enrolment , code of practice summary,  2017 Public Holidays , 2018 Public Holidays

 

YOUR DETAILS
Name *
Name
Gender *
Your Level of English : Reading + Writing
(You will be given a short test and interview on your first day)
Your Level of English: Speaking + Listening
(include country code please)
(include country code please)
Address
Address
Course Details
Courses start on Mondays - except Public Holidays
EMERGENCY CONTACT PERSON
His/Her Address
His/Her Address
HOMESTAY
(If not, skip this section)
Do you want us to arrange homestay accommodation? *
Accommodation, with breakfast and dinner, Monday - Friday and 3 meals on Saturday and Sunday.
Do you smoke?
Is it ok if your host family smokes?
Do you prefer children in your host family?
Do you prefer cats/dogs in your host family?
Do you have any special food needs?
Do you have any special medical problems/allergies?
LITTLE PARADISE LODGE
(accommodation only, no meals provided) Subject to availibility.
Do you want us to arrange lodge accommodation? (minimum age is 18 years) *
Do you require a private bathroom? ($50 extra per week.)
STUDENT HOUSE STAY
Do you want to apply to stay at the student house?
I have read the requirements and house rules on the Student House webpage and fully understand them
AIRPORT TRANSFER
Please inform us of your travel plans as soon as possible
Do you want us to meet you and organise your transport from Auckland to Whitianga? *
(Note: We will also help you to arrange your transport back to Auckland if required)
Arrival Time
Arrival Time
MEDICAL AND TRAVEL INSURANCE
All International Students studying in New Zealand have to have an appropriate and current Medical and Travel Insurance Policy. Please refer to our conditions of enrolment.
Do you want us to organise an insurance policy with Uni-care for you? *
Policy type
Please refer to the Uni-care website for policy details: www.uni-care.org
And final date of travel
And final date of travel
Payment Options
Please select your preferred payment method. We will send you details on how to make payment once we have received your application *
ACCEPTANCE
By submitting this form I accept the terms outlined in the Conditions of Enrolment and understand that Coromandel Outdoor Language Centre will make every effort to accommodate my requests and acknowledge that I have read both the Conditions of Enrolment and the Code of Practice summary.
I have read the Conditions of Enrolment and the Code of Practice summary *