Apply to study with World English

Personal Details

Personal Details		Contact address
Title:	Mr Ms
Family Name:		Street:
First name(s):		Suburb:
Your age:		State/Region:
Nationality:		Country:
Occupation:
E-Mail Address:
Phone		Fax (if any)
Country Prefix:		Country Prefix:
Area Code:		Area Code:
Number:		Number:
What kind of visa are you applying for?
Visitor:
Working holiday:

Your Course

Please estimate your present World English Level:	see Your Study Plan
Please indicate your target level:
Your Course:
Start Date:
Finish Date:
How did you learn the English you already know?:

Your Accommodation

Arrival Information

Flight number:
Arrival date:
Arrival Time:

If you have any questions, please e-mail us at info@worldenglish.org

World English reserves the right to change or cancel course arrangements and fees without notice. By sending this form, I understand and accept the information and conditions above, and believe that the information I have given above is correct. I also undertake to obey the school´s rules and reasonable requirements.

World English, Kings Complex, Hay Street, Perth WA 6000 Australia

Please pay at least the first four weeks of accommodation in advance, or all of your accommodation if it is for less than four weeks.
Your accomodation:
From (Date):
To (Date):
Total weeks:
Do you smoke (many families only accept non-smokers)?
	Yes No
Would you live in a home with...
a cat?	Yes No
a dog?	Yes No
Do you have any special...
dietary needs?	Yes No
allergies?	Yes No
a medical condition?	Yes No
if yes please specify: