Campus Education Australia

	Pre-Application Form
Date:
Surname:
First Name:
Address:
Country:
Phone:
Fax:
Email:
Date of Birth:
Age:
Gender:
Name of your School?
Address of your School?
Email of your School?

I am interested in High School for a period of:
Date that you wish to commence your placement:

The above program includes High School placement, tuition, host family accommodation, meals, family environment and support, CEA councelling, assistance and support, 24 hour emergency assistance, orientation on arrival and bi monthly.

Dates may vary slightly on confirmation.

I would like to enrol in an INTENSE ENGLISH COLLEGE before attending my High School program.

For a period of:

I would like to go on safari around Australia visiting, Gold Coast, Cairns, Ayers Rock, Adelaide and Melbourne, returning to Sydney for approximately one month during or at the end of my study program.

Yes No

I would like to stay on a unique Australian Sheep station during my school vacation:

Yes No

My parents are interested in sending me to Australia:
Yes No

How did you find out about Campus Education Australia's High School Program?

Which search engine did you use to locate our site?

Pre-Application Form