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Language Course application

///Language Course application
Language Course application 2017-09-07T13:07:17+00:00

Language Course application

Book your Language Course safe and securely by filling in the online application form

Student Details

Family Name: (required)

First Name(s): (required)

Nationality (required)

Gender: (required)MaleFemale

Date of Birth:

Age (at start of course):

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Student Special Requirements

Diet (e.g. vegetarian, halal etc.)

Health (e.g. asthma, allergies etc.)

Medication (please give details of ANY medication that your child is taking

Other

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Primary Parent / Guardian Details

Family Name: (required)

First Name(s): (required)

Address: (required)

City: (required)

Postal Code: (required)

Country: (required)

Home Phone: (required)

Business Phone:

Mobile Phone: (required)

Email: (required)

Other Parent / Guardian Details

Family Name: (required)

First Name(s): (required)

Home Phone: (required)

Business Phone:

Mobile Phone: (required)

Email: (required)

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Courses (please mark your choice)

Vacation Course

Tuesday 5 July - Tuesday 19 July , 2 weeks @ £1,850.00

Tuesday 19 July - Tuesday 2 August , 2 weeks @ £1,850.00

Tuesday 2 August - Tuesday 16 August , 2 weeks @ £1,850.00

Tuesday 5 July - Tuesday 26 July , 3 weeks @ £2,775.00

Tuesday 19 July - Tuesday 9 August , 3 weeks @ £2,775.00

Tuesday 26 July - Tuesday 16 August , 3 weeks @ £2,775.00

Tuesday 5 July - Tuesday 2 August , 4 weeks @ £3,700.00

Tuesday 19 July - Tuesday 16 August , 4 weeks @ £3,700.00

Academic Preparation Course

Tuesday 5 July - Tuesday 19 July , 2 weeks @ £2,350.00

Tuesday 19 July - Tuesday 2 August , 2 weeks @ £2,350.00

Tuesday 2 August - Tuesday 16 August , 2 weeks @ £2,350.00

Tuesday 5 July - Tuesday 26 July , 3 weeks @ £3,525.00

Tuesday 19 July - Tuesday 16 August , 3 weeks @ £3,525.00

Tuesday 5 July - Tuesday 2 August , 4 weeks @ £4,700.00

Tuesday 19 July - Tuesday 16 August , 4 weeks @ £4,700.00

Note: these fees include student travel and medical insurance (not active until deposit is received) and return airport transfers for the student ONLY from either London Heathrow or Bristol airports on the dates shown only. A supplement applies to all other airports and travel dates.

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Transfer Options

Airport Transfer:(required): YesNo

Unaccompanied Minor transfer service upon departure (£60.00 per student) (required): YesNo

Visa Support Letter(required): YesNo

(If ‘Yes’ complete the following):

Passport Number:

Issue Date:

Place of Issue:

Expiry Date:

Courier Service for original documents (£60.00 additional fee) (required): YesNo

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Academic Details (if choosing APC course only)

Number of years studying English:

For all students who are not coming to a UK boarding school in September, the Academic Preparation Course pre-entrance test must be completed HERE, and your score recorded below.

APC English Test Score:

Will you be studying at a UK School from Sep-2014? YesNo

Name of UK School:

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Students on the APC will study one Core Subject and two Elective Subjects if taking the 2-week course. Students on the 4-week course study all subjects (NB 3-week students study one Core Subject for 2 weeks and the other for 1 week + 3 Elective Subjects). Please choose your Core Subject and grade your preference for your Elective Subjects, with 1 being the highest preference. This information is used to allocate students to their preferred subjects where possible, but we reserve the right to make the final decision according to numbers and availability.

Core Subjects (select one) Elective Subjects (rank in order from 1 to 4):

Core Subjects (select one)

Business Studies: YesNo

Maths: YesNo

Elective Subjects (rank in order from 1 to 4):

Computing (IT):

Psychology:

Literature & Art:

General Science:

The offer of a place on all courses is subject to availability, the entry requirements at the time of application and the standard terms and conditions as published on our website.

Please tick here to confirm that you have read and agree to the terms and conditions as shown at www.ccsl-cliftoncollege.com/language-courses/terms-and-conditions

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