Group Enquiry Form

    Contact Information:

    Contact Name*

    Company Name

    Email Address*

    Group Information:

    Campus Enquiry for*
    Wellington CampusAuckland CampusEither Campus

    Number of Students

    Country of Origin*

    Age of Youngest Student*

    Age of Oldest Student*

    English Level

    Arrival Date

    First Day of Study

    Number of weeks of study*

    Number of Chaperones*

    Chaperone Information
    (Are they teachers? English language level? Do they also require classes?)

    Class Information:

    Class Type*
    Integrated ClassSeparated Class

    Course Preference*
    General EnglishIELTSTESOLRugbyOther
    If "Other", please specify

    Full TimeMornings onlyAfternoons only

    Do you require activities?*
    If "Yes", please specify types of activities you are interested in


    Type of Accommodation*
    HomestayUniversity Hostel (subject to availability)OtherN/A
    If "Other" accommodation, please specify

    Airport pick-up/drop-off?*

    Medical and Travel Insurance required?*

    Other Requests:

    Write other requests here

    Please type any letters and numbers you see in the field below