Online Booking

You must complete the sections of the form marked with *

Your Personal Details

Family Name*

Given Name(s)*

Date of Birth*

(Year)

Sex*

Occupation

Nationality*

Address (student)*

Emergency contact address in country of origin*

Telephone*

Fax

Previous English Study

Years Months

International English exams already taken

Exam mark received

Future study plans in New Zealand:

How did you learn about Eurocentres:*

Language Skills *

(10 is highest)

What is your own assessment of the present level of your English proficiency (Refer to Scale of Language Proficiency in the Enrolment Guide for levels)

Courses

Core Programme
Course Start Date
Number of Weeks

Specialised Intensive
Course Start Date
Number of Weeks

Specialised Super-Intensive
Course Start Date
Number of Weeks

Academic Semester and Year Programmes
Course Start Date
Number of Weeks

One-to-One
please enrol me for a module of 5 x One-to-one lessons, or
enrol me for	One-to-one lessons

Examinations

Would you like to take an examination course?	Yes
If so, which one?

Examination Courses

Cambridge Super-Intensive (8-12 weeks)
Course Start Date
Number of Weeks

Accommodation *

Arrival Date	(Year)
Departure Date	(Year)
* Accommodation for Eurocentres is always reserved from Saturday-Saturday

Would you like Eurocentres to arrange transfer on arrival?

Arrival Date	(Year)
Flight Number

Do you have any special requests related to medical conditions, allergies or diet?
If yes, please list below.

Do you smoke?
Do you mind staying with a family with smokers?

Please list your personal interests/hobbies

Insurance *

All international students must have adequate travel and medical insurance
(including cover for loss of tuition in the case of serious illness or injury).
An English translation must be provided on your first day.

	I would like Eurocentres Auckland to arrange insurance for me.
	I will arrange my own insurance policy before leaving my home country.

Length of policy requested

Weeks

Visit www.orbitprotect.com for policy details and prices.

Declaration *

I am aware of the Code of Practice Summary and have read
and accept the Conditions of Enrolment.

The World of Eurocentres

Select the region in which you would like to study.

University Pathways

Eurocentres Auckland has a partnership with ACG which helps students go to Auckland University or AUT. This is great as students do not need to do the IELTS exam!

Please find attached the pathway information »»

Free Job Interview Training Workshops

Eurocentres Auckland offers free job interview workshops every month. Please fill out the voucher and give it to reception on your first day to secure your place.

Click here to find out more! »»

Trial Lessons

Come to Eurocentres Auckland for a free trial lesson! Experience the great classes and amazing nationality mix. After class you will have a tour of the school and see the wonderful facilities Eurocentres has to offer. Trial lessons are held every Tuesday, Wednesday and Thursday at 10.30am. Ring to make a booking today!

Click here to see the Eurocentres trial lesson procedure »»

For online bookings, please complete our form below.