English Step One College
 
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Application Online Form


Course name  
Study Term Weeks
Start date D M Y
Visa type  Student Visa
 Working Holiday Visa
 Tourlist Visa
 Other
Previous English examination

Result
(E.g. IELTS, TOEFL, Cambridge)

Estimated English level

 Beginner
 Elementary
 Pre-Intermediate
 Intermediate
 Upper Intermediate
 Advanced

Pre-course assessment

Did you study at secondary level (Junior high school, high school etc) or higher for 4 or more years?
YES  NO

Name Last Name
First Name
Sex Male  Female
Nationality
DOB D M Y
Passport Number*
Age*
E-mail*

re enter


Address*
Phone Number*
Mobile Number *
FAX Number
Airport pick up Yes  No
Homestay Yes  No
Share House Yes  No
Start date to stay.
D M Y
Staying term Weeks
Type of room
(Home Stay)
Single  Share
Type of room
(Share House)
Single  Twin Twin for single use

※ Please fill up if you request

1. Do you like children?              Yes  No
2. Do you smoke?                         Yes  No
3. Do you like animals?             Yes  No
4. Do you follow a special diet?        Yes  No
If yes, please explain:

5. Do you suffer from any allergies? Yes  No
If yes, please explain

6. Do you have any medical problems or take medication?
   Yes  No
If yes, please explain:

7. What are your hobbies or interests?


Comment



English School Australia Sydney

 

LETS Australia t/a Step One College