Personal Methodology Course Application Office Use Only First Name Family Name Other requests: (smoking, no pets, diets, allergies etc.) Home Address Town/City Post Code Country I require an arrival transfer Nationality I require a departure transfer Email Level of English - Tick one box Beginner Elementary Tel/Mobile (A1) (A2) Intermediate Sex Male Female Pre-Intermediate (A2) (B1) Upper-intermediate Advanced Date of Birth (B2) (C1) Passport Tick Visa Requirements Number one box I need a visa UK Address I do not need a visa Post Code Student Visitor Visa Contact Person I would like travel insurance in Emergency Telephone Accommodation Requirements How did you hear about International House Tick one box Newcastle? Half-board Homestay Friend Family Self-catering Homestay Webpage Travel Agent Self-catering Newcastle 1 (en-suite) International House Agent Room Studio ____/____/____ No accommodation needed Start Date Length of accommodation weeks Length of course weeks
Personal Methodology Course Application First Name Office Use Only Family Name Home Address Other requests: (smoking, no pets, diets, allergies etc.) Town/City Post Code Country I require an arrival transfer Nationality I require a departure transfer Email Level of English - Tick one box Tel/Mobile Beginner (A1) Elementary (A2) Sex Male Female Pre-Intermediate (A2) Intermediate (B1) Date of Birth Upper-intermediate (B2) Advanced (C1) Passport Number Visa Requirements Tick one box UK Address I need a visa I do not need a visa Post Code Student Visitor Visa Contact Person in Emergency I would like travel insurance Telephone Accommodation Requirements Tick one box How did you hear about International House Newcastle? Half-board Homestay Friend Family Self-catering Homestay Webpage Travel Agent Self-catering Newcastle 1 (en-suite) Room Studio International House Agent No accommodation needed Start Date ____/____/____ Length of accommodation weeks Length of course weeks
personal-methodology-course-2017-application-and-questionnaire.docx