Campus Education Australia

Pre-Application Form

Interested In

High School Program Gap Semester - Year

Date:

Surname:

First Name:

Address:

Suburb:

City:

State:

Country:

Phone:

Fax:

Email:

Date of Birth:

Age:

Gender:

Name of your School?

Address of your School?

Email of your School?

I am interested in High School for a period of:
I am interested in Gap Program for:
Which Course are you interested in:
Date that you wish to commence your placement:

The above program includes High School placement, tuition, host family accommodation, meals, family environment and support, CEA councelling, assistance and support, 24 hour emergency assistance, orientation on arrival and bi monthly.

Dates may vary slightly on confirmation.

I would like to enrol in an INTENSE ENGLISH COLLEGE before attending my High School program.

For a period of:

I would like to go on safari around Australia visiting, Gold Coast, Cairns, Ayers Rock, Adelaide and Melbourne, returning to Sydney for approximately one month during or at the end of my study program.

Yes No

My parents are interested in sending me to Australia:
Yes No

- Study Abroad Programs - Australian High Schools - Gap Program - Host Families - Study Abroad Fees & Pricing -
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