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TESOL Application Form
All questions marked with an asterisk (*) are required!

Personal Data

First Name *
Family Name *
Mailing Address
Apartment/Suite Number
City
State/Province
Zip or Postal Code
Country
Phone (include country code)
Fax (include country code)
E-mail Address *
Date of Birth *
(mm/dd/yyyy)
Your Gender *
Male Female
Are you a Native English Speaker? *
Yes No
Passports held for which countries? *
Name and Phone of Emergency Contact *

Education and Work Experience

Your Education * No college
Some college
College graduate
Graduate degree

Focus of Studies
Degree(s) Granted
Name of College(s)
Professional Work Experience
and Dates/Length of Service
Previous Teaching Experience
and Dates/Length of Service
Current Profession
Knowledge of Other Languages

Accommodation Details

Will you require accommodation? *
Yes No
Please indicate whether you smoke? *
Yes No
Please describe any special requirements, medical conditions or dietary restrictions

Accommodation

~ Choose an option

Option 1- Tuition Only - US$1,490.00 (excluding accommodations)
  Option 2 - Tuition Plus Dorm - at Aspire International Villa (excludes all meals and laundry service) US$1,690.00
  Option 3 - Tuition Plus Single Room - at Aspire International Villa (excludes all meals and laundry service) US $1,890.00
  Option 4 - Tuition Plus Full-service Twin-share at Aspire International Villa with Breakfast and Dinner Mon-Fri, 3 meals Sat-Sun, laundry Service included US$2,190.00
  Option 5 - Tuition Plus Full-services Single Room at Aspire International Villa with Breakfast and Dinner Mon-Fri, 3 meals Sat-Sun, laundry services US$2,390.00

Airport Pick-up Service

From Auckland International Airport to Thames

Option 1 - Return Airport Pickup Service Auckland or Hamilton Airport pick- up NZ$125.00
 

Option 2 - One-way Airport Pickup Service Auckland or Hamilton Airport pick- up NZ$65.00


Course Details

First Choice of Location *
First choice Preferred Course Dates * (Select location first)

 

Second Choice of Location
Second choice Preferred Course Dates (Select location first)
Please briefly explain why you wish to take a TESOL course and your employment plans after you complete the course *
How did you hear about us?
Additional Comments
Reconfirm Email Address *
I have read and agree with the Terms and Conditions

 

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