Enrolment Form

Enrol to study English in Australia

Please fill out the following online enrolment form to study English in Australia at TIES and we will contact you within 24 hours. You can also download the enrolment form to send it via fax or snail mail.

*Indicates a mandatory field

Townsville International English School Enrolment Form
Personal Details	Address and Contact Details
*Family name:	*Email:
*Given name:	*Address in Home Country:
*Preferred name:
*Gender: Male Female
Date of Birth: (DD/MM/YY)
*Country:	Address in Australia: (If known)
*Language:
*Passport no:	Telephone in Australia: (If known) Mob:
*Visa type:	Home:
Do you require airport pickup? Yes No Not Sure ($60 pickup fee - one way)	Flight Details (If known) (Please advise TIES 4 weeks before arrival)
Hobbies/Interests:	Special considerations:
How did you find us?
Courses (Full-time: 22 hrs per/week)	Courses (Part-time: different lengths)
*General English (Full-time)	*General English (Part-time)
*Academic English - IELTS preparation (Full-time)	*Academic English - IELTS (Part-time)
*English + Bonus	*Night Classes (4 hrs Tues/Thurs 6-8pm)
*Start Date (Tuesday): (DD/MM/YY)	*After school ESL or EEP (2 hrs)
*Length of Course: (weeks)	*One on One English classes
*Finish Date (Friday) : (DD/MM/YY)	*LOTE classes (2 hrs)
Education
English Level: (Results from TIES online English test)
Date taken:
Previous English exam results:
IELTS Academic Module (Overall): IELTS General Module (Overall):
TOEIC (Overall): TOEFL (Overall): Other:
Date taken:
Will you be continuing your studies once you finish studying English at TIES? Yes No Not Sure
Name of Institution: Start Date: (DD/MM/YY)
Accommodation
*Do you require accommodation arrangement? Yes No	Backpacker: Student pays directly to backpacker hostel
If Yes, how many weeks?	Sharehouse: Student pays directly to the sharehouse arrangement
	Homestay: Student makes payment to TIES
What type of accommodation: Homestay Backpacker Sharehouse
Homestay requirements
Homestay includes Breakfast and Dinner during the weeks and includes 3 meals on the weekends.
Do you have any allergies? Yes No Details:
Do you have any health problems? Yes No Details:
Do you have any special food requirements? Yes No Details:
Would you like a family with pets? Yes No Details:
Would you like a family with children? Yes No Details:
Do you have any special requests? Yes No Details:
Summary of Fees
*Enrolment and materials fee:	AUD$
*Tuition fee (Course Fee x Weeks):	AUD$
Accommodation booking fee:	AUD$
Homestay Accommodation fee:	AUD$
Airport pickup fee:	AUD$
Total fees (Add all fees together):	AUD$
Terms and Conditions of Enrolment
• All fees must be paid in advance. Final confirmation of booking cannot be assumed or made until all fees have been received. If a student arrives in Townsville and their fees have not been received, we cannot guarantee that the student will be able to start the course. • All prices are valid until the end of 2012. • I agree to waive and release all claims against Townsville International English School (TIES), its directors and its appointed agents for any loss, accident, injury, delay or expense resulting from participation in any of its courses, airport transfers, excursions and all types of accommodation arrangements. I also release TIES, its directors and its appointed agents and agree to indemnify TIES, its directors and its appointed agents with regard to any financial obligations or liabilities that I may personally incur or any damage or injury to the person or property of others that I may cause while enrolled in TIES courses. • I understand that my enrolment at TIES may be terminated at the discretion of TIES, its owners and its appointed agents without refund of fees at my own cost if I do not adhere to the rules, standards and discipline code of TIES. • If I become ill, injured, or incapacitated, TIES, its directors, teachers, appointed agents and Homestay family members may take such action as any of them considers necessary, including securing medical treatment for me and transporting me back to my country at my own expense. I release them from all liability related to such actions. • I agree that the laws of Australia shall apply to this agreement and I agree to submit to the jurisdiction of the Australian law. • I agree to allow TIES to provide my personal information to Commonwealth and State agencies and the ESOS Assurance Fund Manager should it be required to do so • Extra homestay accommodation (owing to flight arrival/departure dates etc.) is charged at $A30 per night. • Writing materials are not included in the price. • Any school-aged dependents accompanying overseas students to Australia will be obliged to attend school whilst in Australia and may be required to pay full fees if enrolled in either a government or non-government school. Further details are available from www.imm.gov.au • Photographs, videos and testimonials provided by the student or taken by TIES may be used in promotional material including Facebook/internet.
Cancellation and Refund Policy
• All requests for refunds must be made in writing to the Director, Townsville International English School, PO Box 2219, Townsville, 4810. If you are withdrawing from a course due to illness, a medical certificate must accompany your letter. • Tuition fees are non transferable to other students or institutions. • All refunds will be paid in the same currency in which the fees were paid and refunded only to the person who entered into the contract with TIES. However, if the person gives written consent to pay the refund to someone else this will be appropriate. • Refunds will be paid within 14 days of notification. • The enrolment, accommodation placement fees and air-port pick-up fees are non-refundable. • Bank charges will be deducted from refunds when occurred. • 100% of the tuition fees will be refunded if a visa application is rejected. You must notify TIES within 28 days of visa rejection. • 100% of the tuition fees will be refunded if you cancel your enrolment in writing 4 or more weeks before the commencement of your course. • 50% of the tuition fees will be refunded if you cancel your enrolment in writing less than 4 weeks before the commencement of your course. • Refunds will not be granted once a course has commenced. • TIES reserves the right to expel a student who does not adhere to the discipline code of behaviour of the school. No refund will be given. • The registered provider’s dispute resolution processes do not circumscribe the student’s right to pursue other legal remedies. • Nothing in the School’s Dispute Resolution Policy negates the right of any overseas student to pursue other legal remedies.
Student Declaration
I confirm that I have read, understood and agree to the terms and conditions of enrolment (including refund policy). I acknowledge and agree that; this is an application only to study at Townsville International English School (i.e. it does not guarantee a place). I will adhere to the code of conduct at TIES. I will notify TIES of any change of address while enrolled in the course.

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Enrolment Form

Enrol to study English in Australia

Townsville International English School