Learn English at Lyceum English Language Australia English School Australia

Application to study English at Lyceum

Personal Details:

Family Name :
Given Name(s) :
Date of birth : (dd/mm/yyyy)
Gender : Male     Female
Address :
Postcode :
Nationality :
Email :
Phone Number :
Mobile :
Country of Birth :
Emergency Contact Details :
First Language :
Other Language(s) :
Occupation :
Visa type : Tourist
Working Holiday
Other
- If you intend to enrol with a Student Visa,
please fill out this form instead
How did you hear about this school? :
(if other)

Educational Background:

Name of Highest Qualification :
Intended Further Studies :

English Proficiency:

What is your present level of English? : Elementary
Pre-Intermediate
Intermediate
Upper-Intermediate
Advanced
If you have completed an English proficiency test (eg. IELTS, TOEFL, Cambridge), what is your English Language Proficiency score?
(Please specify the test type.)
:

Which level of General
English will you begin with?
: Elementary
Pre-Intermediate
Intermediate
Upper-Intermediate
Advanced

Course Start Date
(Must commence on a Monday)
: (dd/mm/yyyy)
Course Finish Date
(Must finish on a Friday)
: (dd/mm/yyyy)

Click here for Lyceum's Terms and conditions of enrolment, cancellation and refund policies



All students must read and agree to the conditions of enrolment, cancellation and refund as stated by Lyceum English Language Australia. I have read, understood and agree to the terms and conditions of enrolment, cancellation and refund policies as stated by Lyceum English Language Australia.
Date of Agreement : (dd/mm/yyyy)


Payment Details

All payments must be received 30 days before your course start date.

When we receive your application we will confirm your place. You can then send us your full fees in Australian dollars by sending a Bank Draft/Bank Cheque/International Money Order. Or you can deposit directly into our bank account, as described in the how to enrol page.

If you are already in Australia payment can be made by credit card, debit card or cash.



Thank you for choosing Lyceum English Language Australia.


© 2009
Lyceum English Language Australia is a division of Lyceum Education Centre Pty Ltd
ABN 72070984002 - RTO 5493 - CRICOS Code 02919C