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Personal Details
* First Name * Last Name
* Date of Birth (dd/mm/yy) * Gender Male Female
* Nationality Passport Number
* Country of Birth
* Contact Address
in Australia
(if known)
* Telephone Mobile
Emergency Contact Address
Emergency Telephone Facsimile
* E-mail Address
* What type of
Visa will you hold?		 Australian Student Visa Visitor Visa Working Holiday Visa
Other type of visa
* Education Agent Yes   No
 
English Language Level
* What is your first language?
* If you have learnt English before, show your present level (tick below)
Beginner Elementary Pre-Intermediate Intermediate Upper-Intermediate Advanced

If you have completed a recent English Language Test, show results below:
 
Enrolment Details
* I want to enroll in the following course/s (tick below): Morning 23hrs p/wk Afternoon 20hrs p/wk
General English Full Time CRICOS No: 062911C English Plus Hospitality
IELTS Exam Preparation Full Time CRICOS No: 062912B English Plus Demi Pair** (Download Demi Pair Application Form )
Cambridge Exam Preparation(FCE) CRICOS No: 063668A General English Part Time*
English for Academic Purposes CRICOS No: 062910D IELTS Exam Preparation Part Time*
*Note: Enrolment may be subject to visa conditions
** All students applying for the English plus Demi Pair program must complete and return to Gold Coast Language Schools a Demi Pair Application form.
* Number of weeks * Course Start Date (Monday)
 
Accommodation
* Do you want Gold Coast Language Schools to arrange homestay for you?
Yes No
* How many week(s)?
* Are kids OK? Yes    No
* Are pets OK? Yes    No
* Do you Smoke? Yes    No
* Have you ever lived in another country? Yes    No
* Do you have any allergies? Yes    No
Please give details
* Do you take regular medication? Yes    No
Please give details
* Do you have any special needs? Yes    No
Please give details
* What are you favourite activites?
PLACEMENT FEE
Placement fee is $210 per student payable to Gold Coast Language Schools upon submission of the Accommodation Application. (Non refundable)
Download Homestay Price List
Airport Greeting
* Do you require Gold Coast Language Schools to arrange airport pick-up for you?
Yes (Brisbane: $155) Yes (Coolangatta: $105) No
Airport of Arrival (if known) International Domestic
Flight details (if known) Flight Number
Arrival date (if known) (dd/mm/yy)
Arrival time (if known) (24hrs time)
Overseas Student Health Cover(Student visa holders only)
* Do you require Gold Coast Language Schools to arrange OSHC for you?
Yes No
3 Months
Single   $105.00
Family $210.00		 6 Months
Single $210.00
Family $420.00		 9 Months
Single $315.00
Family $630.00		 12 Months
Single $420.00
Family $840.00
All current OSHC charges are shown online at www.ahm.com.au
Overseas Bank Transfer Fees
All payments into the GLS account from overseas will incur a $20 transfer fee.
Payment by credit card will be applied surcharges(3%). e.g. (Visa or Master)
* I understand and agree to abide by the terms and conditions of the Student Agreement and the Refund & Cancellation Policy.
 
GOLD COAST LANGUAGE SCHOOLS
- About Gold Coast Language Schools
 - Location
 - Staff at GLS
 - Contact Us
 - Students Testimonials		 COURSES
- General English
 - IELTS Preparation
 - CAMBRIDGE Preparation
 - ENGLISH plus DEMI PAIR
 - ENGLISH plus HOSPITALITY		 HOW TO APPLY
- Enrol Online
 - Download Application Form
 - Download Fee Sheet
 - Our Agents		 COMMUNITIES
- Notice Board
 - What's on at GLS (Event Calendar)
 - Photo Gallery