International Students

Referring Agency *

Agency Contact *

First

Last

Agency Phone Number

Name of Student *

First

Last

Name Generally Used (if different from above)

Date of Birth *//

Student Email Address *

Email

Confirm Email

This will only be used to set up the new school email address

Country/Nationality *

Mother's Maiden Name *

Year Group You Wish To Be Considered For *

Please refer to

Length Of Stay *

If you need to enter specific dates please fill this in the 'Any other relevant information' box

I confirm that if student is not attending for 3 terms, their place will be taken over by a new student. This is a requirement by the DES. *

Further information here

Host Family Contact Details *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Host Family Telephone *

Host Family Email Address *

Email

Confirm Email

Any other relevant information

I have read and the Admissions' Policy *

I have read and accept the Code of Behaviour