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Online enrolment form

Required fields are marked with *

YOUR PERSONAL DETAILS
Family Name * Given Name(s) *
Date Of Birth * Gender *
Male Female
Occupation Nationality *
Telephone * Fax
Email * Passport No *
Address (student) * Emergency address in country of origin
Previous English Study Years Months
 
International English exams already taken
Exam mark received
Future study plans in New Zealand  
Foundation Studies University High School Other None
 

COURSE REQUIRED *
General English (full-time)
From     No of Weeks *
General English (part-time)
From     No of Weeks *
Business English (6 weeks) *
From  
IELTS Preparation (6 weeks) *
From  
Cambridge Exam Preparation *
From     First Certificate In English (FCE)
 
From     Certificate in Advanced English (CAE)
 
From     Preliminary English Test (PET)
TKT / TESOL *
From  
* Minimum entry level required for these courses.

INSURANCE *

It is compulsory for students to have travel and medical insurance. CCEL can help with this, or you can arrange a suitable policy in your own country (but you must provide a translated copy when you enrol).

Insurance cover is subject to acceptance by the insurance company and costs are subject to change. The policy and conditions can be viewed at www.orbitprotect.com. Students transferring to university courses may be required to purchase a university approved policy.
 I will arrange my own insurance
Please arrange a CCEL policy for me
      1 Month 3 Months 6 Months Other:

ACCOMMODATION REQUIREMENTS
  I require a host family arranged by CCEL
      Bus zone Walking zone 		  I require Ilam Apartments Campus Accommodation
      With Dinner Self-Catering
  or I will arrange my own accommodation   I require Sonoda Christchurch campus accommodation
      With Dinner Self-Catering
Do you have any special dietary requirements? * How long do you require accommodation? *
Do you have any medical conditions or allergies? * Yes No Please list any foods you cannot eat
Do you smoke? *
  Yes     No  
If yes then please list

YOUR PERSONAL INTERESTS
Interests/Hobbies How did you hear about CCEL? *

DECLARATION
I am aware of the Code of Practice Summary and have read and accepted the conditions of enrolment *
   Yes