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APPLICATION FORM - English Courses 2018 (under 16s)

Please select your preferred TEG English Location: Bristol☐ Cardiff ☐ Portsmouth ☐ Southampton ☐

STUDENT INFORMATION
/ Family Name (Surname):
First Name:
Male ☐Female ☐
Date of Birth:
Age at start of course:
Nationality:
First Language:
MAIN CONTACT INFORMATION
Home Country Address:
Address in the UK (If arranging Accommodation Privately):
Telephone: (including international dialling code) 00
Email:
PARENT/LEGAL GUARDIAN INFORMATION
Family Name: / First Name:
I am the student’s:Parent☐ Legal Guardian(proof needed) ☐
Telephone: (including international dialling code) 00
Email:
Passport number:
Language: Do you speak English? Yes ☐ No ☐
LOCAL GUARDIAN DETAILS
(Students under 16 must have a guardian living in the area who will be responsible for that student while in the UK)
Family Name: / First Name:
Relationship to student:
Telephone: (including international dialling code) 00
Email:
Address:
Language: Do you speak English? Yes ☐ No ☐
PASSPORT AND VISA INFORMATION
Passport/ID Number:
Passport/ID Expiry Date:
Information on visas can be found on the UK Home Office website:
Do you need a visa to study? Yes ☐No ☐
Reason for learning English:
/ YOUR LANGUAGE LEVEL
Please select your language level (see our free test at
for more details):
☐I don’t know
☐Beginner
☐Elementary A1
☐Pre-Intermediate A2 / ☐Intermediate B1
☐Upper Intermediate B2
☐Advanced C1
☐Proficient C2
COURSE INFORMATION
Start Date: / End Date:
Number of Weeks:
INDIVIDUAL STUDENTS
Summer Junior Programme
(only available from 18th June – 24th August 2018) / ☐
GROUP BOOKINGS
General English 15 / ☐ / General English 20 / ☐
Other:
ACCOMMODATION
Do you need accommodation?Yes☐No ☐
Start Date: / End Date:
Homestay:
Type of Room / With Meals
Single Room / ☐
Shared Room with / ☐
I need a special diet: Halal ☐ Vegetarian ☐Vegan ☐Gluten Free ☐ Other
Other:
AIRPORT TRANSFER
Do you need an Airport Transfer? Yes ☐No ☐
Arrival: / Departure:
Date: / Date:
Time: / Time:
Airport: / Airport:
Flight Number: / Flight Number:
Terminal: / Terminal:
OTHER INFORMATION
Agent Name:
How did you hear about us? Walked by the school ☐
Google ☐ Facebook ☐ Advertisement ☐ Friend/Family ☐
Employer ☐Our website☐ Other
Please turn over and fully complete the
Parental Consent Forms.
OFFICE USE ONLY / Student Number / Grammar: / Speaking: / Office Tick List:
☐Parent/Guard. Passport Copy
☐Parental Agreements signed
☐Invoice sent
☐Visa/Enrolment Letter
☐Handbooks Sent (Stud. & Par.)
☐Homestay Profile Sent
☐Homestay Confirmation Letter
☐Host Informed of Arrival Time
☐Transfer Arranged
☐Book Given
☐Welcome Meeting Given
Invoice No
Total Amount / Type of Visa: / Valid Until:
Payment Details (instalment/amount/date)
Payment Record Updated: ☐
Arranged Holidays:
Agent Commission Paid: / Extending student: ☐
(See other side for information) / Sponsored Student? / ☐Offer letter sent
☐Financial Guarantee Received
☐Financial Guarantee Posted

Parental Consent Forms (Under 16)

PARENTAL CONSENT
Please read the information below carefully and tick that you understand and consent to ALL of the following:
☐ /
  1. Our child will study in classes with students aged 9 to 15.

☐ /
  1. I understand that my child will travel between the school and their accommodation unsupervised.

☐ /
  1. Our child will not be supervised during their free time by TEG English, e.g. between the end of their lessons and returning to their accommodation. (Rules regarding their time outside of lessons can be found in our Student Handbook).

☐ /
  1. Our child must be back at their accommodation by 6.00pm at night.

☐ /
  1. For individual students, TEG Colleges organises an Activity Programme from Monday to Friday. Students will be supervised by TEG English staff and must abide by our rules.

☐ /
  1. If your child is studying in a group, activities may be arranged by TEG English or the group organiser. For activities arranged by TEG, a member of staff will escort them to the activity and back to the college. It is the group leader’s responsibility to ensure that students return to their accommodation before the curfew.

☐ /
  1. Our child will have sufficient money to pay for day to day expenses.

☐ /
  1. All students aged under 16 must have transportation organised by their parents or legal guardians from the Airport to their accommodation. Students must also carry this form while they are travelling.

☐ /
  1. I will ensure that if my child is staying in Accommodation not provided by the College, that they will come to school with a packed lunch.

MEDICAL CONSENT
  1. Does your child have a condition or illness that requires medical treatment?
Yes ☐ No ☐
If yes, please give details:
  1. Does your child suffer from any allergies?
Yes ☐ No ☐
If yes, please give details: /
  1. Is your child taking any medication now?
Yes ☐ No ☐
If yes, please give details:
  1. We give permission for our child to be seen by a doctor or hospitalised or operated on in an emergency and may be given medication by a doctor. Yes ☐ No ☐

TRAVEL AUTHORIZATION
I authorize my child to travel to the UK independently to attend an English Language Programme organised by TEG English during the dates provided above.
What transport arrangements have you organised for your child? (please tick A, B, C, or D)
☐A) I have booked an airport pickup with TEG English to collect my child from the airport and transport them to the host provider or school. (please complete ‘Airport Transfer’ on previous page)
☐B) I will be accompanying my child.
☐C) A family member/friend will be responsible for collecting my child from the airport.
Name:
Address:
Telephone number:
☐D) My child is travelling in a group and will be accompanied by who is a group leader and is responsible for my child.
SCHOOL AND HOST FAMILY RULE AGREEMENT
Parent/
Guardian / Student / We ask both the student and the parent/legal guardians to agree to the following:
☐ / ☐ / My child must attend all classes. The college has a strict attendance policy. Students must notify the host provider and the college if they are ill.
☐ / ☐ / We understand that the school reserves the right to stop the course of any student who persistently breaks the rules of the college during their stay. These rules are available on request and are clearly stated in the Student Handbook and around the college.
☐ / ☐ / My child will follow the host provider’s house rules. These may include: use of home telephone, TV, computer, having visitors, meal times, noise, use of bathroom, cleanliness and tidiness and safety and security of the home.
☐ / ☐ / My child will be responsible for any damage that they cause in the home/school.
AGREEMENT TO TERMS AND CONDITIONS
No refund will be given in the event of:
  • self-cancellation after you have started your course.
  • any holidays you choose to take after enrolling or sick days in which you are absent from classes. These will not be added to the end of a course.
  • self-cancellation after being issued with a student visa letter from the College (with no evidence provided of visa refusal).
  • you being asked to leave the College because of gross misconduct (i.e. abusive behaviour) on your part.

Please tick:
☐ I confirm that I have read, understood and agree to the Terms & Conditions and Refund Conditions noted above and I understand that the same conditions apply to any course extension.
☐ I have received, read and understood the TEG Parent Information Pack.
☐My child and I have received, read and understood the TEG Student Handbook under 16s.
☐I would like to receive emails from TEG English regarding news, offers, and other marketing material. (For more details on our Data Protection Policies please seetegenglish.com/cookies-and-privacy)
Student Signature: / Parent/Guardian Signature: / Guardian in UK/Group Leader Signature:
Date: / Date: / Date:
If you are using a credit or debit card which is not registered to you, please get the signature of authorisation from the cardholder. / Cardholder Signature:
OFFICE USE ONLY
STUDENT PAYMENT/EXTENSION RECORD
Amount / Date Of payment / Course Description
(GE15, ComSk, etc) / From / Until / Accommodation / Method of payment
(Debit,Credit,cash) / TheBing (tick)
FROM / TO
Agent Commission Paid:
Agent Commission Paid:
Agent Commission Paid:
Agent Commission Paid
Agent Commission Paid:
Agent Commission Paid:
Agent Commission Paid:
Agent Commission Paid: