High School 2016/2017 Application Form(Nichiai) LEVEL –Estimated ... High School 2016/2017 Application Form(Nichiai) Page | 3 Washington Lodge, ... High School 2016/2017 Application Form(Nichiai)

Download High School 2016/2017 Application Form(Nichiai)  LEVEL –Estimated ... High School 2016/2017 Application Form(Nichiai) Page | 3 Washington Lodge, ... High School 2016/2017 Application Form(Nichiai)

Post on 27-May-2018

212 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

<ul><li><p>High School 2016/2017Application Form (Nichiai)</p><p>Page | 1 Washington Lodge, Sweetbriar Park, Lower Newtown, WATERFORD X91 D935 - IRELANDInt. Tel. +353 51 877288 Fax: +353 51 854603 E mail: info@welc.ie Web: www.welc.ie</p><p>Version 2016</p><p>STUDENT PERSONAL DETAILS</p><p>Page 1 of 4</p><p>Please complete 4 pages and sign application form on page 4</p><p>AGENT/GROUP REFERENCE NICHIAI LTD</p><p>FIRST NAME</p><p>FAMILY NAME</p><p>HOME ADDRESS</p><p>CITY, POSTAL CODE</p><p>COUNTRY, NATIONALITY</p><p>HOME TELEPHONE &amp; MOBILE NUMBERS (Parent/Guardian)</p><p>E-MAIL ADDRESS (Parent/Guardian)</p><p>ENGLISH LEVEL Estimated</p><p>A1 A2 B1 B2 C1 C2</p><p>(Beginner, Elementary, Intermediate , Advanced)</p><p>DETAIL ENGLISH EXAMINATIONS TAKEN</p><p>DATE OF BIRTH</p><p>FEMALE / MALE</p><p>COURSE DETAILS</p><p>NAME OF COURSE</p><p> Full Academic Year</p><p> Term 2 &amp; 3</p><p> Term 1 or Term 2 or Term 3</p><p> Other</p><p>School Year in Irish School</p><p> Primary: 5th or 6th class</p><p> Secondary: 1st, 2nd, 3rd, 4th/TY, 5th or 6th Year</p><p>START DATE</p><p>END DAY</p></li><li><p>High School 2016/2017Application Form (Nichiai)</p><p>Page | 2 Washington Lodge, Sweetbriar Park, Lower Newtown, WATERFORD X91 D935 - IRELANDInt. Tel. +353 51 877288 Fax: +353 51 854603 E mail: info@welc.ie Web: www.welc.ie</p><p>Version 2016</p><p>ACCOMODATION DETAILS </p><p>Page 2 of 4 TYPE OF ACCOMMODATION REQUIRED (HOSTFAMILY or BOARDING)</p><p>DATE ACCOMMODATION IS REQUIRED FROM</p><p>DATE ACCOMMODATION IS REQUIRED TO</p><p>ANY HEALTH PROBLEMS?</p><p>ANY ALLERGIES?</p><p>VEGETARIAN? SPECIAL DIET?</p><p>IS STUDENT ALLOWED TO SMOKE?</p><p>ISSUES WITH ANY PETS AT THE HOST FAMILY?</p><p>ARRIVAL &amp; DEPARTURE DETAILS </p><p>ARRIVAL TRANSFER SERVICE </p><p>Travelling with group, individually or with family</p><p>AIRLINE &amp; FLIGHT NUMBER</p><p>ARRIVAL AIRPORT: Waterford / Cork / Dublin / Shannon </p><p>DO YOU REQUIRE MEDICAL INSURANCE? </p><p>A copy must be provided to immigration for students requiring a study VISA</p></li><li><p>High School 2016/2017Application Form (Nichiai)</p><p>Page | 3 Washington Lodge, Sweetbriar Park, Lower Newtown, WATERFORD X91 D935 - IRELANDInt. Tel. +353 51 877288 Fax: +353 51 854603 E mail: info@welc.ie Web: www.welc.ie</p><p>Version 2016</p><p>Application Requirements </p><p>Page 3 of 4</p><p>In addition to completing this High School Junior Application Form for each student, WELC requires the following checklistof items to proceed with your application.</p><p>Application Support Documentation etc. Notes</p><p>3 Passport size photographsFull name printed on reverse or if sent by e mail full name on file attachment</p><p>School ReportLast school report with details of subjects and results, comments from teachers/tutors</p><p>English Level ReportFrom school (or English Academy) outlying level of English (oral, written &amp; comprehension).</p><p>School reference letter This should be a more personal reference.</p><p>Parent/Guardian letterTo confirm that student can come to Ireland to do the course under guardianship of WELC.</p><p>Medical certificateFrom family doctor to say that student is fit to participate in course &amp; detailing any allergies/conditions</p><p>Medical Card Scan of European Medical Card</p><p>Identification Scan of passport &amp;/or National Identification CardDeposit of 500 for state day schoolsDeposit of 1 800 - 2 800 for boarding/private schools See bank details below for bank transfer please state student name</p><p>On receipt of the above documentation &amp; deposit, WELC will proceed to placing student in school &amp; host family. Once a school place is confirmed, WELC will issue invoice for fees/balance of fees due. </p><p>School places are confirmed no later than end of May for courses starting in Term 1 or for full Academic Year, in October for Term 2 and Term 2 &amp; 3 courses and in February for Term 3 courses. </p><p>NOTE: This is subject to early receipt of applications. Early applications are advised as students are placed on waiting list on first come first serve basis. It is advised that applications for 2016/2017 academic year or terms are received in February/March for students starting course in Term 1, in September for students starting in Term 2 &amp; January for students starting course in Term 3. </p><p>LETTERS FROM WELC CONFIRMING THE PAYMENT OF FEES, ENROLMENT DETAILS (confirmation of Irish school &amp; host family) ARE NOT PROVIDED UNTIL COURSE FEES ARE PAID IN FULL.</p><p>BANK ACCOUNT DETAILS FOR DEPOSIT &amp; PAYMENTS :</p><p>IBAN No: IE25BOFI 90619592783355 BIC No: BOFIIE2D</p><p> Bank Name: Bank of Ireland , Address: 60 The Quay , Waterford, Ireland</p><p> Sort Code: 90-61-95 - Account Number 92783355</p><p> Account Name: Waterford English Language Centres Ltd</p></li><li><p>High School 2016/2017Application Form (Nichiai)</p><p>Page | 4 Washington Lodge, Sweetbriar Park, Lower Newtown, WATERFORD X91 D935 - IRELANDInt. Tel. +353 51 877288 Fax: +353 51 854603 E mail: info@welc.ie Web: www.welc.ie</p><p>Version 2016</p><p>If you do NOT wish that your child to be included in any photographical /digital /video footage used by Waterford English Language Centres Ltd for promotion or educational purposes (e.g. website, brochures, blog, videos,). </p><p>Please tick this box </p><p>I have read and accept all the terms &amp; conditions as stated on Waterford English Language Centres website &amp; course description. </p><p>Signature of applicants Parent/Guardian. </p><p>Signature ___________________________________________________ Date ________________________ </p><p>PLEASE PRINT NAME IN FULL:______________________________</p><p>ADDITIONAL STUDENT INFORMATION</p><p>Page 4 of 4</p><p>Place in family: eldest / youngest etc.</p><p>How many brothers?</p><p>How many sisters?</p><p>Height: Tall, Average, Small</p><p>Personality: Docile, Reserved ,Talkative</p><p>Maturity: Mature, Average Juvenile</p><p>Main hobbies/interests</p><p>Appetite: Poor ,Average , Good</p><p>Disco: Yes , Controlled , No</p><p>Religion: Must practice, Own Discretion, Non PractisingPocket Money: Do you wish your childs pocket money to be administered by WELC. </p><p>If yes ,Quantity Euro (total):Payment frequency/number of payments: weekly, monthly, 1 ,2, 3 or more payments</p><p>Parents/Guardians - Family names :</p><p>Parents/Guardians - First names :</p><p>Parents/Guardians - Occupations:Parents/Guardians - contact telephone &amp; mobile numbers</p></li></ul>

Recommended

View more >