Geos NZ
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Please complete this enrolment form. More information will be sent to you shortly.

PERSONAL DETAILS (please complete)
Family Name
Given/First Name
Gender Male Female
Date of Birth DD/MM/YY
Nationality
Passport Number
Address in your country
Email
Phone (daytime)
What type of visa will you hold? Visitor/Tourist Student Working Holiday PR Other
Where did you hear about us? Agency or Internet Magazine Friend
Fax (optional)
CAMPUS DETAILS (Please indicate where you wish to study)
Auckland City Number of weeks start (D/M/Y)
Wellington Number of weeks start (D/M/Y)
Christchurch Number of weeks start (D/M/Y)
School will you attend first
COURSE PREFERENCE (Entry to exam courses is subject to a level test)
General English
Full Time Course  
Part time  
Academic Courses
Cambridge FCE (GEOS Auckland & Christchurch only)
Cambridge CAE (GEOS Auckland & Christchurch only)
Academic IELTS  
English for Business Purposes (EBP) (GEOS Auckland & Christchurch only)
TOEFL (GEOS Auckland only)
TOEIC (GEOS Auckland only)
TESOL Language Preparation (GEOS Auckland only)
Young Learner Courses
     
Young Learner General English (GEOS Auckland only)
High School Preparation (GEOS Auckland only)
English + Activities Holiday Courses (GEOS Auckland & Christchurch only)
Teacher Training Courses
Cambridge CELTA (GEOS Auckland only)
TESOL + TKT (GEOS Auckland only)
TECSOL (GEOS Auckland only)
     
WOULD YOU LIKE TO APPLY FOR SUPERLINK? (min 12 weeks at two GEOSNZ schools)
No Yes Please arrange my free one way/return airfares from (name cities) to
ACCOMMODATION DETAILS
Auckland City Campus: I would like to stay in a homestay for weeks. From: to
I would like to stay in a hostel for weeks. From: to
I will arrange my own accommodation Address Phone
Wellington: I would like to stay in a homestay for weeks. From: to
I would like to stay in a hostel for weeks. From: to
I will arrange my own accommodation Address Phone
Christchurch: I would like to stay in a homestay for weeks. From: to
I would like to stay in a hostel for weeks. From: to
I will arrange my own accommodation Address Phone
Please tick if you smoke
What are your hobbies/interests? Do you have any medical conditions?
Is there any food you cannot eat? Do you have any special needs?
INSURANCE DETAILS (All Students traveling to NZ must arrange insurance)
Are you going to arrange your own travel/medical insurance? Yes No
What is the insurance policy number and company?
Would you like to apply for Medical / Travel Insurance? Yes No
1 month 2 months 3 months 4 months 5 months 6 months other
AIRPORT TRANSFERS
Would you like an Airport Greeting and Transfer on Arrival Yes No
Arrival City. Auckland Wellington Christchurch
Arrival Flight Details Date DD/MM/YY: Time: Flight #:
Would you like an Airport Greeting and Transfer on Departure Yes No
Departure City. Auckland Wellington Christchurch
Departure Flight Details Date DD/MM/YY: Time: Flight #:
What is your English level? Beginner: Elementary: Intermediate: Upper Intermediate: Advanced:
COMMENTS (Special room requirements or requests)
 
DECLARATION (Students 18 years and over)
I am over 18 years old and have read and accept the Terms and Conditions as detailed in this link.
Please write your full name
Please check this box to accept Date:
DECLARATION (On behalf of students under 18 years)
I have the authority to sign, and have read and accept the Terms and Conditions as detailed in this link on behalf of the person named above.
Please write your full name
Please check this box to accept Date:


 

 
 

 

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