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