Enrolment Form

Please make sure you have read through the Conditions of Enrolment (265 KB PDF) prior to completing the following enrolment form.   
Note: * indicates required fields.

 Personal Details
*Family name: *First name :
Nickname: *Male or Female: Male Female
*Address:
*Nationality: *Date of Birth: ( dd/mm/yy )
*Email: *Age
*Telephone: Fax:
 

 Course Details
*Full-time or Part-time Full-time Part-time  
*Courses: a. English for Academic Studies, or
  b. English for Communication Studies
  c. English for Business
Optional Modules for a. or b. above:
  Business Vocabulary
  High School Studies
  Cultural Studies
  Cultural Activities
*Course starting date: (dd/mm/yyyy)
*Course finishing date: (dd/mm/yyyy)
 

 Information for Us
*How did you hear about us?
Agent
Publication
Website
Education Fair
Other – please specify...
 

 Accommodation
*Please select your choice of accommodation
Homestay   Hostel   Own
 
Please complete for Homestay Only:
Number of weeks:
Starting from: (dd/mm/yyyy)    
Finishing on: (dd/mm/yyyy)      
Do you smoke? Yes No Do you like animals? Yes No
Would you prefer a family with children? Yes No
Hobbies and sports:
Do you have any special requirements?
Do you require Halal meat? ($28.00 extra per week is charged by the homestay)   Yes No

Please remember that when placing you into one of our homestays we consider your safety as our main priority. Because of demand we are not always able to meet each of your requests, however we will always do our very best to try.
 

 Medical and Health Insurance

As an International student, you must have appropriate and current medical and travel insurance while studying in New Zealand. This is a requirement by law. For further information please contact us.

*Do you require English Language Matters Ltd to arrange insurance for you? Yes No
 

 Code of Practice for the Pastoral Care of International Students

English Language Matters Ltd is a signatory to the Code of Practice for the Pastoral Care of International Students.

We have agreed to observe and be bound by the Code of Practice for Pastoral Care of International Students published by the Minister of Education. Copies of the Code are available on request from this institution or from the New Zealand Ministry of Education website at: http://www.minedu.govt.nz/goto/international
 

 New Zealand Immigration Service

If you would like to study for three months or less, you need to apply for a Visitor Visa. If you are planning to study for longer than three months you will need to apply for a Student Visa.

Full details of visa and permit requirements, advice on rights to employment in New Zealand while studying, and reporting requirements are available through the New Zealand Immigration Service, and can be viewed on their website at http://www.immigration.govt.nz
 

 Parent/Guardian Details
*If you are under 18 years of age, your parent (or guardian) must complete the following section:
Parents name: Email address:
Address:
Telephone:    Fax:
 
I am the parent of the student named on this application form. I declare that...
  1. The information supplied is true and accurate.
  2. I understand the intention of the NZ Ministry of Education's
        Code of Practice for the Pastoral Care of International Students.
  3. I have read English Language Matters Ltd's Conditions of Enrolment (260 KB PDF) and
        understand the terms and conditions relating to enrolment.
  4. I have been informed of all costs involved with enrolment, the school's policies regarding Fee Protection (250 KB PDF) and Refunds (260 KB PDF) and the Grievance Procedures (120 KB PDF)
Please check this box to agree to the above statements.
 

Any Questions or Comments
   

 Agent Details – to be completed by agent ONLY if applicable
Agents name: Email address:
Address:
Telephone: Fax:

 
     

 

Within New Zealand call (03) 471 7257 - International call +64 3 471 7257.
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