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Application of Interest + Home > Contact us > Apply online

 

Online application process:
1. Fill out the form below and click to download "marketing prospectus".
2. We will contact you once we have received your "Application of Interest" form.

Note:

1. All of the questions with * means that it must be fiiled out. Otherwise, you cannot submit the form.
2. Please make sure your Email address is correct. So we are able to contact you.
3. If you have any other requests, please use "contact form".

PERSONAL DETAILS
*First Name:  *Family Name:
*Date of Birth:

(dd/mm/yy)

*Gender:
*Nationality:   *E-mail:
*Phone Number: *Mobile Number: 
Address in New Zealand:
*Visa Expiring Date

(dd/mm/yy)

What is your native language?What other languages are you fluent in, excluding English?

 
EMERGENCY CONTACT
+Home country +New Zealand
*Name: Name:
*Phone Number: Phone Number:
*Relationship to you: Relationship to you:
*Can they speak English: Can they speak English:
 
ENGLISH PROFICIENCY
How long have you studied English? (Length)
*I belive my English proficiency is:
Have you sat any international English tests?(Please write details below):
IELTS: TOELF:
TOEIC: Other test:
Have you been to an English language school before? If so, what one(s)?
What are your goals while in New Zealand?
 
COURSES DETAILS
*What are you interested in enrolling in? Please tick on below.
English Grammar & Conversation(4 weeks)
Workplace Communication Grammar and Pre-employment skills(5 weeks)
TOEIC(10 weeks)
 
+One to one tutoring :
In all topics(Length as required)
Other:
PS:All classes must have minimum of 5 students for classes to begin.
 
When woud you like to start your couse? (dd/mm/yy)
How do you hear about Hamilton English Language Academy?
 
DECLARATION

I acknowledge that HELA is not liable for any costs associated with any medical expenses incurred by me at any time.

All information provided is truthful and correct to the best of my knowledge.

I supply the information in this form and in support of this application with the understanding:

1.That it may be used for the purpose of my enrolment as a student.

2.That I have the right to see and correct the information I have provided if nessary.

3.That it may be used for purposes external to HELA when it is in statistical form in the provisions of the Privacy Act 1993.

I agree.

 

Requests
(If you have any questions or requests, please wrtie down below. )