Personal Details

Pick One

Family Name

First Name

Email

Nationality

First Language

Home Address

Telephone

Mobile

Fax

Occupation / Profession

Course Details

I wish to enrol for:

ADULT INTENSIVE			ADULT SUMMER			ENGLISH/LAW STUDENTS
Long Term Examination			F1			LAWA
Winter			F2			LAW1
Spring			F3			LAW2
Autumn			F4			LAW3
						LAW4

 

ENGLISH/BUSINESS STUDENTS & ILEC			TEENAGE RESIDENTIAL			TEENAGE HOMESTAY
BUSA			2 weeks			T1
ILEC			4 weeks			T2
						T3

 

CHILDREN'S RESIDENTIAL
2 weeks
4 weeks

Starting date:
Finishing date:

What is your level of English?

Speaking	1	2	3	4	5	6	7
Writing	1	2	3	4	5	6	7

Examination Details [for academic courses only]

	Cambridge First Certificate (FCE)		Certificate in Advanced English (CAE)
	Cambridge Proficiency (CPE)		Other

Accommodation for Adults

Please arrange accommodation for me at GBP125/€175 per week in a homestay :

Yes No

I would like a:

		Single room
		Shared room (NB. Young adults may be required to share a room in the peak summer period)
		Summer Residential Accommodation
		Accommodation placement fee £60/€84 (charged on all courses except Teenage and Chidren’s courses

Accommodation for Teenage Homestay courses
(ages 14 - 16)

Teenage (14 - 16) students are normally placed in double rooms, sharing with someone of a similar age but different nationality and language. Students on Teenage courses are normally required to be back at their homestay by 11pm.

Transport

Will you bring a car or motorbike?	Yes No
Will you want to hire a bicycle?	Yes No

 

Planned Date of Arrival in England

Date		Airport
Flight No.		Arrival time
(If you do not have these details now, please inform us as soon as possible.) If you require a taxi service from the airport, please indicate below:

	London Heathrow (£140/€196)		London Stansted or Luton (£95/€133)
	London Gatwick (£150/€210)

How did you first hear of CAE?

	British Council		British Tourist Authority		Friend
	Teacher		Agent		Internet
Other, namely

Name/telephone number of parent or other contact person while you are in England

Parent/Contact
Tel/Mobile Number

Payment

We require a deposit of £200/€300 to hold your place on the course.
When we have received your enrolment form and deposit, we will send you a certificate of enrolment for your course (or return your deposit if the course is not available). The balance of your fees should be paid in advance, not later than two weeks before the start of your course.

I wish to pay for my course in £ €
Cheques in sterling drawn on a bank in the UK	Cheques in Euros
By bank transfer to:
Cambridge Academy of English Barclays Bank plc, Chesterton Road Branch, Cambridge, England. Bank code: 20-17-35, SWIFT: BARCGB22 £ payments to £ Sterling account: 60224421. IBAN: GB95BARC20173560224421 € payments to € Euro account: 76138655. IBAN: GB72BARC20173576138655
Credit card. If you choose to pay by credit card, you will need to fax us your credit card details. We will provide you with a fax form to fill in when you click the Enrol Form link below.

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