Language School UK | St Brelade's english school Jersey

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Student application form

Use this form to apply for a course. We will then contact you with confirmation of your course and details of how to pay. A deposit of £100 is required on confirmation of your course. If you wish to make a general enquiry, please click here.

 
Personal details
   
Surname: *
First name: *
Name of person paying:
Address:



Email: *
Telephone number: *
Date of birth: *
Sex: *
Level of English: *
 
Course details
   
Type of course: *  
   
(Adults)
(Young Learners)
Starting date *
Number of Weeks *
 
Accommodation
   
Do you require a host family? *
Do you smoke?
   
Arrival details
   
Please note: you must provide your arrival details at least 2 weeks before the start of your course.
   
Date of arrival:
Time of arrival:
Name of boat/plane Company:
Flight number:
Date of departure:
   
Other information
   
How did you hear about us?
E.g. Google

Other information
* Indicates required field
   
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Language School UK | St Brelade's College, Jersey