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Your help proved beneficial. I appreciate the services as well as the staff for continuous support. And the best thing is all the services are free of cost. Keep doing the good work. Cheers!
Maryam AL-Hetmi, Student
Summer Program Registration Form
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Denotes Mandatory Fields
Personal Information
Family Name of Student
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First Name
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Preferred Name
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Date of Birth
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First Language
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Home Address
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Home Telephone Number
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Mobile Telephone Number
Email Address
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In the event of an emergency, please give contact details
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Parents Name
Parents Address
Parents Home Telephone Number
Parents Mobile Telephone Number
Parents Email Address
Medical Information Please give details of any medical information which the Course Directors should be informed about. Where students are taking regular medication, please give details.
How did you hear about the course?
Dates of Attendance of WUP Course
Dates of Attendance of the World University Preparation Course. Please tick to indicate which course you wish to attend.
Arriving Tuesday, June 29, 2010 - 3 week course
(Stg 3,600/-)
Arriving Tuesday, July 06, 2010 - 2 week course
(Stg 2,400/-)
(Course fees is inclusive of tuition, accommodation, meals, airport transfers in UK, study materials, access to internet / computer room, all trips and activities and social events, detailed report to parents at the end of the course with recommendations)
Non refundable registration fees: Stg100/- or equivalent.
Transport Information
Please provide us with all Flight details as soon as tickets are booked to enable us to arrange Airport Pick Up.
Academic Background
So that we are able to allocate you to the right courses and advise on your university applications and future career, please complete the following:
Please select your level of English in written and spoken English.
Written English
Bi-Lingual
Advanced
Higher Intermediate
Spoken English
Bi-Lingual
Advanced
Higher Intermediate
Please give details of any English exams already taken with dates and grades. State any other English Language examinations to be taken and when.
Public Examinations
What school leaving exams will you be taking?
When?
Subjects in order of preference | Predicted Grade/ Mark | Maximum Grade/Mark
IB or other overall predicted mark where applicable
Please list any qualifications to date
Name of Qualification /Country:
Subjects | Final Grade | Maximum Grade
Schooling
Name of school currently enrolled
Achievements and Prizes
Please list any achievements at school over the past 4 years + dates i.e. prizes, positions of responsibility, extra curricular involvement such as music, sport, drama, charity work etc
University and Career Planning
Which universities are you considering applying to?
Which courses are you considering applying for?
Have you had any careers counseling ? If so what careers were suggested?
Do you have any ideas about your future career?
Payment Details
For making payments and for further information please contact our offices
Payment can be made by Cheque / Drafts / Credit Card / Account Transfers in £ or AED.
Terms & Conditions
I agree to the terms as laid down in the Terms & Conditions. In case of illness or injury to the child, as the legal guardian, I hereby grant permission to Bucksmore & its agents to authorise any medical treatment advised by the attending medical consultant and I undertake to pay for any such treatment not covered by insurance. I understand that all fees and expenses must be settled prior to the start of the course and that failure to comply may result in the booking being cancelled. Bucksmore Summer Programmes would like to make a picture diary of Bucksmore students taking part in summer school activities in 2009. Only parents and guardians will have access to this gallery. I agree that images of the child I am enrolling can be used in this way. If you don't agree please check box here.
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