Student Works Application Form

Student Works Application Form
Your contact details
Full Name*

First NameLast Name
Nationality*
Phone Number

Area CodePhone Number
Date of Birth

DayMonthYear
Sex

MaleFemale
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Passport Number or ID card Number
1. Course Programs to include English / Exams / or specialist
Do you need a course?

YesNo
If yes/maybe: what type of course

General English to include part time, full time or intensiveCambridge exams to include FCE/CAEIELTSBusinessSPECIALIST COURSEUniversityOther
Start date

DayMonthYear
End date

DayMonthYear
Current level of English

ElementaryLow IntrmediateIntermediateUpper IntermediateAdvancedI don't know - send me a test!
How many hours per week do you want?
What time can you do the lessons? Also how many weeks do you want?
How much do you want to spend per week? €,£,or $?
Location you want to study in?
Accommodation
Do you need an accommodation?

YesNoI am not sure yet
If yes/maybe: what room size would you like ?

SingleTwinDouble
En-suite (we do not guarantee this in a host family)

YesNo
Check-in date

DayMonthYear
Check-out date

DayMonthYear
Do you prefer:

Host familyHouse/flat share
If you want a host family, do you prefer:

Room onlyHalf-boardFull-board
If you want a host family, Do you have like Cats or Dogs?

Yes I like CatsNo I do not like catsYes I like DogsNo I do not like Dogs
If you want a host family, Do you have any dietary needs?
Do you smoke?

YesNo
Work experience program
Are you looking for a work experience?

YesNoI am not sure yet
If yes/maybe: are you interested in a paid or unpaid work program

PaidUnpaidIndifferent
What industry do you wish to work in?
Start date

DayMonthYear
End date

DayMonthYear
Are you applying for a scholarship (i.e. Leonardo or Erasmus)
Your CV (for work programs only)

Upload a File

Cancelof
Transfer in the UK
Do you require a transfer from a UK airport?

YesNo
Where in the world do you want to go?

UKIRELAND
What city?
How did you hear about us or the name of the agent you used?*
I give permission for my details to be shared with 3rd parties such as schools or businesses that are relevant to my file.*

YesNo
Signature*

Clear
Should be Empty: