INTENSIVE ENGLISH / TOEFL COURSE APPLICATION FORM
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| FAMILY NAME: |
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| GIVEN NAME: |
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| WHICH PROGRAM WOULD YOU LIKE TO APPLY FOR? |
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| WHEN WOULD YOU LIKE TO BEGIN YOUR FULL TIME CLASSES?: |
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*NOTE: Our curriculum is based on a four week cycle. We suggest starting in Week 1, but it is also possible to start Week 2. GEOS Weeks begin on Monday. If there is a national holiday on the Monday, classes begin on the Tuesday (T).
For other starting dates, please contact us |
| HOME ADDRESS (including postal code): |
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| E-MAIL ADDRESS: |
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| TELEPHONE NUMBER: |
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| OCCUPATION: |
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| GENDER: |
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| DATE OF BIRTH: |
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| COUNTRY OF BIRTH: |
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| COUNTRY OF CITIZENSHIP: |
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| DO YOU NEED AN I-20 AND/OR STUDENT VISA? |
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| TELL US ABOUT YOUR EDUCATION BACKGROUND |
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| HAVE YOU EVER STUDIED ABROAD? |
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| WHEN DID YOU COMPLETE THE COURSE? |
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| WHERE DID YOU STUDY? |
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| WHAT IS YOUR CURRENT ENGLISH LEVEL? |
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| HAVE YOU EVER TAKEN THE TOEFL EXAM? |
Score: |
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We offer two types of accommodation, Homestay and Residence. We have an outstanding homestay program at our school. Homestay includes a private room and half board and the families are located in Queens and Brooklyn. Residence accommodation is either single or double rooms, without board, at a residence in Manhattan.
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| WOULD YOU LIKE GEOS TO ARRANGE ACCOMMODATION FOR YOU? |
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If you don't need accommodation, or are requsting a residence accommodation, then skip to the bottom of the page and click "SUBMIT." We will reply soon, usually within 24 hours
If you do want GEOS to arrange a homestay, pease give us a little information about yourself. We will do our best to find a hostfamily that best matches your profile.
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| HAVE YOU EVER EXPERIENCED A HOMESTAY? |
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| IF YES, WHERE WAS YOUR HOMESTAY? |
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| IF YES, HOW LONG WAS YOUR HOMESTAY? |
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| DO YOU SMOKE? |
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| CAN YOU STAY IN A HOME WITH PETS? |
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| DO YOU NEED ANY SPECIAL ASSISTANCE? |
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| TELL US ABOUT YOURSELF |
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| TELL US ABOUT YOUR HOBBIES AND INTERESTS |
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| TELL US ABOUT YOUR FAMILY |
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| WHICH TYPE OF HOST FAMILY WOULD YOU PREFER? |
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| DO YOU HAVE ANY FOOD ALLERGY OR PROHIBITIONS? |
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| DO YOU WANT GEOS TO ARRANGE AN AIRPORT TRANSFER FOR YOU? (JFK or LaGuardia only) |
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| DO YOU HAVE ANY ADDITIONAL QUESTIONS OR COMMENTS? |
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