Application for enrolment Please fill out this form to apply to study at Languages International. You will not be asked to pay now. You must be at least 17 years old to apply. (If you are under 18 years old, please read our information for under 18s before applying.) If you have any questions, you can contact Languages International at info@languages.ac.nz. If you would like help from a language travel consultant in your country, please give us your contact information here. LocationWhere would you like to study?AucklandChristchurchAre you currently in New Zealand?YesNoHave you studied in New Zealand before?YesNoStudent's detailsTitleMrMsFamily nameGiven name(s)Date of birth AgePlease enter a value between 1 and 99.Email address*Telephone numberPassport numberNationalityNative languageMailing addressPostal addressCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCourse(s) wantedGeneral English (GE)General English (GE)Study typePart-TimeFull-TimeNo. of weeks of tuitionFrom To English for Business (EB)English for Business (EB)(Course not currently offered in Christchurch)To enrol in this course you need to take a pre-test. You can take the test after you finish filling out this form. The test is here: www.languages.ac.nz/courses/test-your-english/ (The test will open in a new window).Study typePart-TimeFull-TimeNo. of weeks of tuitionFrom To English for University (EU)English for University (EU)To enrol in this course you need to take a pre-test. You can take the test after you finish filling out this form. The test is here: www.languages.ac.nz/courses/test-your-english/ (The test will open in a new window).Study typePart-TimeFull-TimeNo. of weeks of tuitionFrom To Executive CourseExecutive CourseStudy typePart-TimeFull-TimeNo. of weeks of tuitionFrom To IELTSIELTSTo enrol in this course you need to take a pre-test. You can take the test after you finish filling out this form. The test is here: www.languages.ac.nz/courses/test-your-english/ (The test will open in a new window).WithGEEBEUNo. of weeks of tuitionFrom To TOEFLTOEFLTo enrol in this course you need to take a pre-test. You can take the test after you finish filling out this form. The test is here: www.languages.ac.nz/courses/test-your-english/ (The test will open in a new window).WithGEEBEUNo. of weeks of tuitionFrom To TOEICTOEICTo enrol in this course you need to take a pre-test. You can take the test after you finish filling out this form. The test is here: www.languages.ac.nz/courses/test-your-english/ (The test will open in a new window).WithGEEBEUNo. of weeks of tuitionFrom To CambridgeCambridgeTo enrol in this course you need to take a pre-test. You can take the test after you finish filling out this form. The test is here: www.languages.ac.nz/courses/test-your-english/ (The test will open in a new window).PETFCECAECPEBECNo. of weeks of tuitionFrom To TESOL CourseTESOL CourseTo enrol in this course you need to take a pre-test. You can take the test after you finish filling out this form. The test is here: http://www.languages.ac.nz/user/file/51/TESOL_Pre-Test.pdf (The test will open in a new window).plus Cambridge TKTNo. of weeks of tuitionFrom To Environmental responsibilityDo you want information about making your course environmentally friendly? YesNoVisit www.languages.ac.nz/about-us/our-green-policy/ for details.Internships & Work PlacementDo you want information about our work experience programs? YesNoVisit www.languages.ac.nz/about-us/work-in-new-zealand/ for details.Will you arrive in New Zealand with a Working Holiday Visa? YesNoAccommodation detailsDo you want Languages International to arrange your accommodation? YesNoType of accommodationHomestayStudent residenceServiced apartmentAccommodation check-in date Check-out date Room typeFor details, visit www.languages.ac.nz/accommodation and click on the Student residence of your choice. Airport pickup requiredYesNo (There is a charge for airport pickup)Please select your homestay preferencesAccommodation check-in date Check-out date A family with younger childrenYesNoNo preferenceA family with older childrenYesNoNo preferenceOlder adults, children left homeYesNoNo preferenceDo you smoke?YesNoPersonal interestsHealth problems / Special requests Airport pickup requiredYesNo(There is a charge for airport pickup)Insurance is compulsoryBy law you cannot start classes without proof that you have purchased Medical and Travel Insurance. International Students must have appropriate and current medical and travel insurance while studying in New Zealand. We arrange a low cost insurance with generous benefits designed especially for students (download PDF) coming to New Zealand. It includes cover for your international travel and loss of fees if your course is interrupted by an insurable event.Please arrange insurance for me.I will arrange insurance myself.The insurance policy sold by Languages International is the Uni-Care NZ Student Plan. For details of this policy, please visit www.uni-care.org/inbound.html. The Uni-Care NZ Student Plan travel and medical insurance policy satisfies the requirements of the Ministry of Education’s Code of Practice (section 5.3). We will calculate the length of your insurance so that it covers your travel to and from New Zealand: from approximately 2 days before the start of your course or your accommodation until approximately 4 days after the end of your course or your accommodation*. If you need your insurance cover to start earlier or finish later than this, please write the dates below.Insurance start date Insurance end date * Please note that if you hold a Student visa during your course, the end date of your Student visa will automatically be given as 4 weeks after the end date of your Languages International course. If you plan to stay in NZ for this time, you need to buy enough insurance to cover you until you return to your home country.Do you have any pre-existing medical conditions § ?Yes No§ A pre-existing medical condition is a condition that started before you applied for your insurance. For detailed information, please visit http://uni-care.org/pdfs/inboundpdnzstu.pdf.AgentI have an agent.I do not have an agent.What is the name of the agency?Declaration*I have read and accept the Conditions of Enrolment.All details on this form are true and correct. I agree that information on this form can be given to the trustees of the Fee Protection Plan and to the New Zealand Qualifications Authority. I acknowledge that Bendall & Cant Trustee Company Ltd will hold fees that I have paid in advance and in the event of a course closure these will be transferred to an alternative provider or to the person who paid for my tuition.Digital signature (Your full name)*Date Please click the 'Enrol Now' button to send your application. (You will not be asked to pay now.)
