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Age of Oldest Student*
English Level -- please select --unknownbeginnerelementarypre-intermediateintermediateupper intadvancedmixed levels
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First Day of Study
Number of weeks of study* unknown123456789101112131415161718192021222324+
Number of Chaperones* 012345678910+
Chaperone Information (Are they teachers? English language level? Do they also require classes?)
Class Type* Integrated ClassSeparated Class
Course Preference* General EnglishIELTSTESOLRugbyOther If "Other", please specify
Schedule* Full TimeMornings onlyAfternoons only
Do you require activities?* YesNo 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?* YesNo
Medical and Travel Insurance required?* YesNo
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