Enquiry 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:

Proposed Study 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. and b. above (tick those you are interested in):
		Business Vocabulary
		High School Studies
		Cultural Studies
		Cultural Activities
	*Starting on: (dd/mm/yyyy)	(click on the button to choose a date)
	*Finishing on: (dd/mm/yyyy)	(click on the button to choose a date)

*Any Questions or Comments

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

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.

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

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

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