First Name*
Last Name*
Address*
City*
State/Province
Postal/Zip*
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Date of Birth*
Email Address*
Start Date (Any Monday)
End Date (Normally Friday)
'One-to-One'How many weeks? None 1 2 3 4 5 6+
'Two-to-One' How many weeks? None 2 3 4 5 6+
The Home English Language Programme includes one evening entertainment and two afternoons of leisure activities. Please let us know what interests you and we will try our best to include it in the on-going programme:
We can arrange host family accommodation (approx 180Euro per week halfboard) or Self Catering in your own apartment or with a local host (€115 per week) or B&B or hotel.
There is a small accommodation arrangement fee of €20 if we organise your accommodation.
All students pay a €45 first time student registration fee (a once only fee).
If you would like airport transfers we arrange a private car for €85 each way from/to Cork Airport)
You may wish to join our on going leisure programme to enjoy some of the local activities available such as kayaking, sailing, horse-riding and excursions to beautiful places of interest, and we can help you to plan this and pay for it when you are here.
To book your place on a course, we will need to secure an advance deposit (25%). After completing and submitting this application form we wil require proof of a payment transfer to the account below. Or, you may also pay by credit card Visa, Amex, MasterCard (phone or fax details in confidence). Full remaining fees can be paid at any time up to 3 weeks before arrival. Please note that cancellation prior to arrival may incur an administration fee.
Bank name & address: AIB Bank, Main Street, Schull, SW Cork, Republic of Ireland. Account name: Atlantic English Language Services IBAN number: IE21AIBK93636703239094 Swift:AIBKIE2D
