Group Enquiry Form

Contact Information:

Contact Name*

Company Name

Email Address*

Group Information:

Campus Enquiry for*
 Wellington Campus Auckland Campus Either 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 Class Separated Class

Course Preference*
 General English IELTS TESOL Rugby Other
If "Other", please specify

 Full Time Mornings only Afternoons only

Do you require activities?*
 Yes No
If "Yes", please specify types of activities you are interested in


Type of Accommodation*
 Homestay University Hostel (subject to availability) Other N/A
If "Other" accommodation, please specify

Airport pick-up/drop-off?*
 Yes No

Medical and Travel Insurance required?*
 Yes No

Other Requests:

Write other requests here

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