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Language Course Application Form

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SUMMARY

 

 

 

 SECTION 1. PERSONAL DETAILS

 

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Print out the application form, fill it in . Please answer all questions. All fields marked with a * are required and must be completed

 
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Once your application has been received you will be given a reference N that you will need to quote on all correspondence, e-mails or when contacting us by telephone

 

 

 For your convenience if you prefer, you can send us your application form securely on-line. We also accept payment by cheque and bank transfers.

First Name*

Last Name*

D.o.B.*

Age:*

Gender:*

Home Tel N (country code first)

Work Tel N (country code first)

Mobile Tel N (country code first)

Fax N (country code first)

E-mail

Address*

 

 

 

 

Next of kin (if different from above) Address

 

 

 

 

Next of kin Tel N (country code first)

Marital Status*

 

Present Employment:*

 

What is your mother tongue?*

 

Do you speak any foreign languages?

 

Nationality:*

 

Do you: Smoke?* (please tick)

Yes:        No:

Choice of country:*

 

Choice of city:*

 

Date course starts:*

 

Date Course ends:*

 

N of weeks required:*

 

Course N:

 

Type of course required: (please tick)

A:    B:    C:    D:

How do your rate your current level of the language? (please tick)

1:   2:   3:   4:   5:   6:   7:   8:  9:   10:

Have you already attended a language course through our agency?* (please tick)

Yes:   No:

SECTION 2. ACCOMMODATION

Choice of Accommodation:* (please tick)

 

In a private home:  

Single Room:   Double Room:

 

In a hotel: (Paris, London)

Category without private bathroom:

Single Room:   Double Room:

Category with private bathroom:

Single Room:   Double Room:

In a student residence: (Oxford)

Single Room:   Double Room:

Other useful information: (allergies, particular diet etc)

 

Do your intend to travel by car? (parking cannot be guaranteed):*

 

    SECTION 3.SPECIAL SERVICES

Pay to:

Totalnannies.com

Payment for:

Agency Fee for language

course and accommodation

abroad

Quantity:

1

Amount:

99.00

Payment for:

Registration Fee

Amount

43.00

Total due:

142.00

I wish to pay for the registration fee by (please tick)

   Bank Transfer:    Cheque: 

    Conditions



1) The agency fee is 99.00. It is inclusive of all expenses. The fee is payable on application.


2) In the event of cancellation or failure to arrive on your part, the agency fee will under no circumstances be reimbursed.


3) If we are unable to satisfy your application the entire fee will be reimbursed.


4) Whilst every precaution is taken with the presentation of clients, we decline any responsibility for unpredictable and unforeseen causes.


5) The course and accommodation fees must be paid to the agency at least 6 weeks prior to the commencement of the course. When application is received less than 6 weeks prior to commencement of the course the amount due is payable immediately.


6) On application a registration fee of 43.00 is due (non refundable)


7) At the beginning of the course every student must produce receipt of payment.


8) The address of the accommodation will be communicated about 2 weeks after registration but not before 3 months from commencement of course.


9) Delay in the payment of fees due can result in cancellation of registration.


10) Cancellation of registration must be notified at least the Friday before the commencement of the course. In that case the whole course and accommodation fees will be refunded. The registration fee and agency fee is not refundable.


11) In the event of failure to arrive at a course without notification as per point 10 or in the event of withdrawal from a course, or if you do not attend a course no refund will given on course fees. In the event of financial difficulties or serious health problems or an accident a refund will be at the discretion of the college. However course fees for a Year of Academic Study are not refundable under any circumstances.


12) If you leave your accommodation after the start of a course, 2 weeks notice is needed (finishing Saturday). 2 weeks rent can be paid instead of the notice. The rest of the accommodation fee will be refunded.


13) Participants are not insured for illness, injury, theft or loss of personal belongings whilst attending the college or in a family home. It is advisable, therefore to undertake a private insurance. totalnannies.com can assist you in this.


14) The school is usually closed during local and national holidays.

 

Signed:                                                                       Date:

 

 

Great Britian

France

 

Germany

Ireland

 

Italy

 

 

 

 

 

 

 

 

 

 

 

 

 

Great Britain

France

 

Germany

Ireland

 

Italy

 

Spain

Switzerland

 

USA

Japan

 

 

 

Spain

Switzerland

 

USA

Japan

 

 

 

totalnannies.com privacy policy comments disclaimer last updated 24/10/2013 06:58:27   .

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