Thu 23rd February 2012

Application Form

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* Required information.
Personal Details
Family Name
First Name
Title
Mr
Mrs
Miss
Ms
Nationality
Date of Birth
Your address
Telephone
Mobile number
Fax number
Email *
Passport number, date and place of issue
Your present school or college (if applicable)
Your most recent qualifications and dates. Please state exam board(s) if you are retaking or progressing from AS to A2
How did you hear about Oxford International Study Centre
PARENT/GUARDIAN/NEXT OF KIN

This is confidential information, for emergencies only
Family Name
First name
Title
Mr
Mrs
Miss
Ms
Nationality
Address
Telephone
Mobile number
Fax number
Email
ACCOMMODATION
Start Date
Finish Date
Class of accommodation (the University has restricted dtaes)
Type of homestay room
Any special dietary needs
Any allergies or other medical conditions
British Guardianship
Do you wish to take our guardianship? (essential for students under 16 who are taking programmes of one term or more)
yes
no
Educational Guardianship
Do you require Study Skills support?
yes
no
COURSE DETAILS
Course name
(For specially designed programmes, please first contact us with your proposal)
Subjects
Start date
Finish date

English language programmes

If you are applying for an ENGLISH LANGUAGE PROGRAMME

You may study in groups or individually, or a combination of the two.
Please indicate the number of group lessons and individual lessons (per week):
None
20
30
Please indicate the number of individual lessons (per week):

GCSE/AS/A2/IB course

If you are following a GCSE/AS/A2/IB course, please indicate:
Level (eg GCSE /AS /A2, IB/SL, IB/HL)
Board (eg EDEXCEL, AQA, OCR, WJEC, CIE)

A level Sciences
If you are applying for A Level Sciences we will assume you need laboratory sessions unless you state otherwise.
required
not required

Individual Tuition
Do you require extra individual tuition in any subjects? If so, which subject(s) and how many lessons a week?

Study Skills Support
Do you require Study Skills support?
yes
no

Holiday Programmes
Please complete course details above, and add here information on your exam board(s) and options:
Cultural activities and weekend excursions /Recommended, and must be pre-booked)
yes
no
Current Affairs discussion groups and interview preparation:
yes
no
Seminars on British Education
yes
no

IEERA
IEERA TESOL examination (for teachers)
yes
no
IEERA Diploma or Proficiency examination (for students)
yes
no
TRANSPORT

Airport Transfer
Transfer type
No transfer needed
Collect only
Collect and return
Arrival airport
Terminal
Arrival date and time
Flight number

Local Transfer
Do you require daily transport to/from school in Oxford (essential for under 12s)
yes
no

This form must be accompanied by a copy of your passport and your recent qualifications . Your registration cannot be confirmed without these documents.

I am attaching electronic copies here
I am sending copies via fax
yes
no

Visa details

If you need a visa you will need to send a deposit (please see terms and conditions).
If you would like your visa documents to be sent to you by courier (at additional cost) choose below
Send by courier
Send by ordinary post

Terms and Conditions

Please click here to read our terms and conditions.
Please tick the box to confirm that you have read and agree to our terms and conditions *

PAY ONLINE

You can pay for your course online via Paypal, however.... please contact us first so we can comfirm the cost of your fees for your chosen course.

Click here to contact us.

Course name
asicuk-border-agencyecis