Online Registration Centre

 

REGISTER FOR GV HAWAII, USA

* required
part 1: personal details
     
School / location *
     
First or given name *
Last or family name *
Gender *
Date of birth *
Country of nationality *
City of birth *
Country of birth/origin *
Passport number
Visa * Visa waiver  B2 Visitor visa F1 Student visa
Have you previously studied at GV? * Yes  No
part 2: address & contact information
Email address *
Instant Messaging ID/Name  
Instant Messaging Service/Provider  
Home telephone number * (including country and area code)
Mobile/alternate telephone number   (including country and area code)
Fax number   (including country and area code)
Home address, line 1 *
Home address, line 2
Home address, line 3
City or Town *
State, Province  
Postal or Zip Code
Country of residence *
part 3: next of kin & emergency contact information
First or given name *
Last or family name *
Relationship (parent, friend, etc.)  
Email address *
Home telephone number * (including country and area code)
Mobile/alternate telephone number   (including country and area code)
Full address including country *
part 4: english program
English program *
Start date (preferred) *

Note: For General English, IELTS, TOEIC & TOEFL Preparation and Business English: Monthly start dates are preferred (see above choice), but weekly intake is possible on any Monday except fourth Monday of a study session.
Number of weeks  
ESL/English level *
Comments or questions about the English program  
part 5: accommodation
Choice of accommodation *

*Lanai room: Room with a small private balcony
Accommodation start date * (dd / mm / yyyy)
Number of weeks *
Do you smoke? * Yes   No
Do you have any allergies? * Yes   No
If yes please explain  
Do you take any medications? * Yes   No
If yes please explain  
Do you have any special dietary requirements? * Yes   No
If yes please explain  
Do you have any particular hobby? * Yes   No
If yes please explain  
Can you live with pets? * Yes   No
Can you live with young children? * Yes   No
part 6: airport transfers

Arrivals

    
Do you need airport pickup? * Yes   No
If yes please indicate  
Flight number   Arrival date
Origin   Arrival time

Departures

    
Do you need airport drop-off? * Yes   No
If yes please indicate  
Flight number   Departure date
Destination   Departure time
part 7: payment & legal information

Payment

    
How will you pay? *

Conditions of Enrolment & Refund Policy
I have read and agree to be bound by the General Conditions of Enrolment and the Cancellation and Refund Policy:   Yes
I confirm that my US$ 500 deposit will be made to confirm my registration:   Yes

Travel & Medical Insurance
I will purchase medical insurance prior to starting any GV program and to cover all medical expenses or reimbursements during the program:   Yes

Other Information
How did you hear about GV? *
Please detail/explain  
If you are registering through an authorized GV agent, please name this agency  
Add your comments or questions  
     

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