Application Form - Vacational Studies International English Summer Schools

Application Form - VacStuds 2008

	Please answer EVERY question using the boxes, or þ the box required. S’il vous plaît, répondez à TOUTES les questions. Bitte beantworten Sie ALLE Fragen. Rispondere, per piacere, a TUTTE le domande. Por favor, responda a TODAS las preguntas.		Alternatively, you can print a copy of the Application Form and fax it to us on +44 1635 523 999
1.	I am applying to register my son/daughter for:
		MARY HARE 10 July - 7 August 2008
		CHEAM 12 July - 9 August 2008
	If your chosen school is no longer available, the other school will be allocated

2.	Student’s full name: (include family name)
	Name he/she prefers to be called:

3.	Date of birth:	4. Sex: Male Female	5. Nationality:

6.	Name and postal address of Parent or Guardian:

	Postcode:
	Country:
	Telephone:
	Email:
	Fax:

7.	Address during period of Course, if different from above:




	Postcode:
	Country:
	Telephone:
	Email:
	Fax:

8.	Name and address of person who may act on my behalf if I cannot be contacted: (You must answer this question)
	This person is a relative friend




	Postcode:
	Country:
	Telephone:
	Email:
	Fax:


9.	Religion:
	If Catholic, is he/she obliged to attend Mass in England? Yes No
10.	What foreign languages (except English) does he/she understand?
11.	Assessment of his/her knowledge of English: Good Fair Poor None
12.	Number of years studying English (by July 2008)

	NEW STUDENTS ONLY (Please send a letter of recommendation from the school on behaviour and attitude to study.) See Note 1 The letter of recommendation can be sent later.

13.	Invoice us for £ OR € for personal expenses (state the amount). (Personal expenses = pocket money + cost of tennis lessons + theatre + certification, if requested). Note: Personal expenses in £ Sterling can be sent bank-to-bank (preferred) or by cheque drawn on a UK bank in advance or be brought by the student. Personal expenses invoiced in € Euros can only be sent bank-to-bank. € euro transfers will be converted to £ Sterling before the Course begins.

14.	Our acceptance is on the understanding that your child is in good physical and mental health and is able to function independently in a multinational community. Please disclose here any past/present health problems, allergies or behavioural factors of which we should be aware before acceptance: Normal childhood illnesses + In the case of food allergies, the student must come with a 1ml. Adrenalin (Epinephine) 1:1000 injection pen an ‘EpiPen’. Students from EU and EEA countries should bring a EHIC card (European Health Insurance Card) to ensure free NHS medical treatment for all conditions

15.	Please list current vaccinations: Normal vaccination programme +
16.	Brief description of his/her character, if not already known by us.
17.	Favourite activities and sports and/or other information that may help us: I have access to the internet Yes No
18.	Can he/she swim? Yes No
19.	Previous longest time away from home days
20.	Do you permit him/her to smoke at home? Yes (* See 28) No

	OPTIONS
21.	TENNIS LESSONS (6) For BEGINNERS or NEAR-BEGINNERS only. Subject to availablity. (Add £40.00 to pocket money) Yes No

22.	LONDON THEATRE Limited availability. Cost (show + travel) = approx. £50. Add this to pocket money. Exact cost will be advised later. Choice of show will be advised later. Yes

23.	CERTIFICATION: Trinity Certificate in Spoken English. We request entry for the Grade that Vacational Studies considers appropriate: YES (Add £50 to pocket money. See brochure for details. The Trinity Certification is suitable for ALL levels of ability. It lasts 5, 10, or 15 minutes depending on the grade. The grades are mapped to the Common European Framework - levels A and B.)

	TRAVEL
24.	He/she will USE FREE HEATHROW COLLECTION SERVICE USE FREE HEATHROW RETURN SERVICE (Our free service applies to flights arriving at Heathrow Terminal 5 from 12.00-16.00 on 10 and 12 July and flights leaving Heathrow Terminal 5 from 09.30-13.00 on 7 and 9 August. UM tickets are excluded. We shall request flight details after we have received Course Fees). BE BROUGHT TO SCHOOL BY PARENT/GUARDIAN BE COLLECTED FROM SCHOOL BY PARENT/GUARDIAN NEED SPECIAL AIRPORT COLLECTION ARRANGEMENTS * NEED SPECIAL AIRPORT RETURN ARRANGEMENTS * *(For students arriving at or leaving from Heathrow outside our stated dates or times, or flying on a UM ticket, or who need to be met at other Heathrow Terminals, or if arrival/departure is at Gatwick. We shall request details later).

	PAYMENT OF COURSE FEES
25.	If this application is accepted, when I receive your Invoice, I shall SEND FULL PAYMENT OF COURSE FEES IN £ STERLING IMMEDIATELY SEND 50% OF THE COURSE FEES IN £ STERLING IMMEDIATELY AND THE OTHER 50% IN £ STERLING BY 15 MAY 2008 SEND FULL PAYMENT OF COURSE FEES IN € EUROS IMMEDIATELY (at the £:€ exchange rate on the date the first Invoice is sent) SEND 50% OF THE COURSE FEES IN € EUROS IMMEDIATELY (at the £:€ exchange rate on the date the first Invoice is sent) AND THE OTHER 50% IN € EUROS BY 15 MAY 2008 (at the £:€ exchange rate on the date the second Invoice is sent on 1 May 2008)

26.	I agree with the rules of the Course as set out in the brochure.

27.	I trust Vacational Studies to decide on the level of supervision required on trips and to permit visits and outings (if any) at its discretion.

28.	We understand that smoking is forbidden by expulsion.

29.	I understand that if for any reason not covered by our Insurance policy a student withdrawn from the Course less than 30 days before it begins, or fails to attend the Course, or leaves before it ends, no refund of Fees will be given unless a suitable replacement student accepts the place.

30.	I understand that if any Fees remain unpaid fifty days after the date of the Invoice (unless otherwise stated on the Invoice), and if any Fees remain unpaid fifty days before a Course begins, acceptance of the student will be withdrawn and the place will be considered to have been cancelled.

31.	I understand that Insurance is only as described on the Insurance 2008 information sheet. I accept the terms and agree to be bound by the conditions of the Insurance cover. I declare that my child is in good mental and physical health.

32.	I agree to my child's details being stored on Vacational Studies computer. They will not be passed on to any third-party.

33.	I agree that my details may be disclosed to another parent for coinciding travel. I agree that my child's details may be disclosed to other students for contact purposes. (If you wish to delete either or both sentences, please contact us first).

34.	If neither the undersigned nor the person in section 8 can be reached in an emergency, I consent to medical treatment being authorised by Ian G. Mucklejohn of Vacational Studies.

35.	I understand that English Law applies to all aspect of Vactional Studies.

	PLEASE DO NOT SEND COURSE FEES UNTIL YOU RECEIVE OUR INVOICE Office address: Vacational Studies, Pepys’ Oak, Tydehams, Newbury, Berkshire RG14 6JT, England. Telephone: (01635) 523 333 International: +44 1635 523 333 Fax: (01635) 523 999 International Fax: +44 1635 523 999 Bank address: National Westminster Bank, 30 Market Place, Newbury, Berkshire RG14 5AJ, England. Note 1 A letter of recommendation may not be required if such a request might conflict with the policy of the school or government. Please state possible conflict. Ein Empfehlungsschreiben wird nicht verlangt, falls dieses Probleme mit der Schulleitung oder dem Ministerium. Bitte bennennen Sie das Problem. For payment of Course Fees and pocket money please see the Course Fees sheet: if letter for visa is needed We will confirm by letter the details given. We suggest you print this form for your records before you press 'submit'.