Application Form

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Application Form

Personal Details (Click here to view application form)
Family Name:		Given Names:
Date of Birth:	Day: Month: Year:	Gender:	Male Female
Nationality:		Passport Number:
Contact Address in Australia (if known)
Telephone:		Mobile:
Mailing address in home country
Telephone:		Facsimile:
Email:
What type of visa do you hold?	Australian Student Visa Visitor's Visa Working Holiday Visa
Other type of visa (please specify):
Are you currently enrolled in another college in Australia?	Yes No

English Language Level

Language spoken at home:

If you have studied English before, show your present level
Beginner (lowest)	Elementary	Pre-Intermediate
Intermediate	Upper Intermediate	Advanced (highest)

If you have completed a recent English Language Test, show results below:

Test Date: Day: Month: Year:

Request for Homesay and Airport Greeting (show details below)
Would you like airport greeting and tranfers?	Yes No	How many weeks homestay would you like to book? (minimum 4 weeks)
Arrival Date (if known)	Day: Month: Year:	Homestay Start Date (if known)	Day: Month: Year:

Your Homestay Preferences
If you would like Homestay accommodation, please answer the following questions:
i) Do you smoke?	Yes No
ii) Are you a vegetarian?	Yes No
iii) Do you have any health problems or allegies?	Yes No
If yes, please describe any special needs
iv) Are young children in the household ok?	Yes No
v) Are dogs and cats (pets) okay?	Yes No
vi) what are your favourite hobbies?
vi) Describe any other special requirements (religious etc.):

Homestay Costs
Homestay Placement fee:	$AUD185 (Pay this fee in advance if you require homestay).
Airport Greeting Fee:	$AUD88 (Pay this fee in advance if you require airport greeting)
Homestay Cost per week:	$AUD200 (minimum booking = 4 weeks) Please pay your homestay family, on arrival. Do not pay in advance.

Hostel and Hotel Accommodation
Brisbane Hostels: the addresses and details of a number of good quality hostels are shown on our website at www.austlang.com.au. Brisbane Hotels and Motels: Prices on application.

Courses, Fees and Start Dates

Course Name	Cost	Start Dates
A . General English Full-Time - (25 hours per week) 2 -72 weeks: CRICOS No. 062145C 1 -12 weeks 13 - 24 weeks 25 - 48 weeks	$300 per week $290 per week $280 per week	Start any Monday

B. General English Part-time** - (15 Hours per week)	$190 per week	Start any Monday morning

C. English for Academic Purposes - 12 weeks: CRICOS No. 062146B	$300 per week	Start date: 29 September 08

D. IELTS Test Preparation – 3 Levels - 12-36 weeks: CRICOS No. 062147A	$300 per week	Start any Monday morning

E. Cambridge First Certificate (FCE) - 12 weeks: CRICOS No. 062149K	$4,065 for the 12 week course, including Examination fee	Start Date: 15 September 08

F. Cambridge Advanced Certificate (CAE) - 12 weeks: CRICOS No. 062148M	$4,070 for the 12 week course, includes Examination fee	Start Dates: 15 September 08

G. Cambridge Proficiency (CPE) – 12 weeks: CRICOS No. 062150F	$4,078 for the 12 week course, includes Examination fee	Start Dates: 15 September 08

H. “Icebreaker” Intensive Conversation Course** (2-8 weeks)	$310 per week Maximum 10 students per class	March Summer start dates 2008: 7 Jul, 14 Jul, 21 Jul, 28 Jul, 4 Aug, 11 Aug, 18 Aug

J. Private Tuition from a qualified English Teacher**	$80 per hour	Start any day, by arrangement. Stay as long as you wish.

** Note: Courses B, H and J are not for Australian Student Visas.

Public Holidays in Brisbane in 2008

Monday 1st January
Monday 28th January
Friday 21st March
Monday 24th March
Friday 25th April

New Years Day
Australia Day
Good Friday
Easter Monday
Anzac Day

Monday 5th May
Monday 9th June
Wednesday 13th August
Tuesday 25th December
Wednesday 26th December

Labour Day
Queens Birthday
Royal Brisbane Show Holiday (The ‘Ekka’)
Christmas Day
Boxing Day

Overseas Student Health Cover (Premiums 2008 - Student Visa Only)

Students travelling on Australian Student Visas, are required by the Australian Government to pay Overseas Student Health Cover (OSHC) charges, according to the length of their stay. This cover needs to be paid to the College in advance at the time of enrolment.

Course Length	3 Months (minimum)	4 Months	5 Months	6 Months
Cost (single cover $AUD)	$78.75	$105	$131.25	$157.50

Insurance
We advise all intending students to take out travel insurance in their own country

Enrolment Details (you must complete this section)
i) Course No. (A, B, C etc)
Course Name:
No. of Weeks:	Your Start Date: Day: Month: Year:
ii) Course No. (A, B, C etc)
Course Name:
No. of Weeks:	Your Start Date: Day: Month: Year:

Payment Details

Please pay fees and charges in advance. We accept Bank draft, cash and International Money Order.
We accept personal cheques drawn on banks in Australia only.

Bank Draft: If paying by bank draft directly to the school,
please make drafts payable in $AUD and send with your
Application Form to:

Enrolments
Australian Language Schools
PO Box 13393 George St
Brisbane, Queensland 4003 Australia

Telegraphic Transfer: If paying by telegraphic transfer,
ALS bank details are:

Bank Name: ANZ Bank
Account Name: Australian Language Schools
Branch Address: 146 Queen Street Mall, Brisbane, Queensland, Australia
BSB: 014010 Account Number: 491553135
Swift Code: ANZ BAU 3M

I have read and understood the Student Agreement and Refund Policy, terms and conditions of enrolment and agree to abide by these terms and conditions.

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