Phone +64 3 477 3345 Mobile +64 27 5343837
Email us
95 Hanover Street, Dunedin New ZealandP.O Box 6168 Dunedin North
Personal Information If you are interested in enrolling in the school, please complete the form. The information you provide will be automatically emailed to English Advantage. Family Name First Name(s) Postal Address Nationality Occupation Telephone No. Fax No. E-mail Address Male Female Date of birth Day / Month / Year Please tell us about your personal interests. e.g. Volleyball, Dancing etc. Course Please write the name of the course you are interested in below. Course required Starting date Day / Month / Year No. of weeks Accommodation A: I want homestay accommodation B: I want to find my own accommodation If possible I would like: A family with young children A family with older children Younger adults with no children Older adults, children left home Do you smoke? Yes No Comments
If you are interested in enrolling in the school, please complete the form. The information you provide will be automatically emailed to English Advantage.
Family Name
First Name(s)
Postal Address
Nationality
Occupation
Telephone No.
Fax No.
E-mail Address
Male
Date of birth
Course required
Starting date
If possible I would like:
A family with young children
A family with older children
Younger adults with no children
Older adults, children left home
Yes No
Comments
