Please print these forms, fill them out and send them. Give the reference forms to the appropriate people to fill out and send.
Send to:
E.S.L. Co-ordinator
P.O. Box 171
Riverstone NSW 2765Fax: +61 2 9627 3342
Family name:_______________________ Given name(s) _______________________________
Present
Address _______________________________________________________________
___________________________________________________________________________
_______________________ Postcode_________ Country _____________________________
Phone:___________________ Fax:____________________
E-mail:_____________________
Date of Birth
______________________ Gender __________________
Citizenship_______________________________________
Passport No __________________
Occupation __________________________________________________________________
Next of kin (name, address, phone) _________________________________________________
___________________________________________________________________________
Marital
status___________________ Name of
spouse __________________________________
Name(s) of children (age) ________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Health Insurance provider (Compulsory) _____________________________________________
Health Insurance number:
________________________________________________________
Health Insurance expiry date ______________________________________
What educational standard did you reach? _____________________________________________
What further study have you done? __________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Have you previously studied English? ________________________________________________
If so, what level did you achieve? ___________________________________________________
Are you a Christian? o Yes o No
(please answer the What religion are you?_________________
following questions) (Please proceed to Health questions)
How long have
you been a Christian? ________________________________________________
When were you baptised? ________________________________________________________
What church do you attend? ______________________________________________________
How long have you been going there? _______________________________________________
Could you please give an outline of your previous
experience in Christian work? __________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
What is your general state of health? _____________________________________________________
Do you suffer from any illness or disorder that may affect
your studies of English?
_______________________________________________________________________________
Do you take any medication or have any dietary
requirements?
_______________________________________________________________________________
What hobbies and recreational activities do you enjoy? (i.e.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
What are your
reasons for studying English? _______________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
How did you hear about this course? ____________________________________________________
_______________________________________________________________________________
GIVE THE NAMES OF TWO REFEREES.
Referees for student application forms must not be from the student’s own family, but from people who have known the student for a reasonable length of time.
Church elder/leader / previous employer (where possible)
Name: _______________________________ Ph:
_______________________________________
Address: ______________________________ Postcode: __________________________________
Other
referee
Name: _______________________________ Ph:
_______________________________________
Address: ______________________________ Postcode: __________________________________
How do you intend to pay for the course? ________________________________________________
If accepted into the GLObal English Institute, I agree to abide by the standard
of Christian conduct expected of me. I
agree to take a responsible part in all aspects of the Course. I will observe the rules and regulations laid
down by the centre administration. All
information contained in this application is true and correct to the best of my
knowledge.
Signature: ____________________________________ Date:
_______________________________
·
Please attach a recent Photo to this form.
_______________________________________________________________________________
Please send
the application form to: The ESL Co-ordinator,
(Fax: +61 2
9627 3342; E-mail:
admin@glo-australia.com)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------
From Elder
/ Pastor
The applicant named below has applied to join a GLObal English Institute and we would like you to provide us with a reference. We would be grateful if you could return this completed form as soon as possible. Please be open and honest with this reference, as it will help us make a proper decision regarding admission. All information is strictly confidential.
Applicant’s Full Name: __________________________________________________________
1. How long and in what context have you known the
applicant? ____________________________
__________________________________________________________________________
2. Please describe the applicant’s home life. (or college life) _________________________________
__________________________________________________________________________
3. Please describe the applicant’s spiritual life. ___________________________________________
__________________________________________________________________________
4. Please describe the applicant’s social life. ____________________________________________
__________________________________________________________________________
5. Has the applicant been in engaged in any Christian
work? ________________________________
__________________________________________________________________________
6. How reliable is the applicant in carrying out his/her
duties? _______________________________
__________________________________________________________________________
7. What are his/her strengths? ______________________________________________________
__________________________________________________________________________
8. Are you aware of any behavioural problems in the
applicant’s life? __________________________
__________________________________________________________________________
9. Does the applicant have any attitudes or habits which
are not consistent with Biblical standards? _____
__________________________________________________________________________
__________________________________________________________________________
10. How would you rate the applicant in the following areas? Please place a tick on the appropriate box, or leave blank if you don’t know.
High Average Low
Self
control
o
o
o
Teachability o o o
Concern for others o o o
Dependability
o
o
o
Spiritual life o o o
Social
maturity
o
o
o
Christian testimony o o o
(where applicable)
Emotional stability o o o
Motivation o o o
Intellect o o o
Physical Vitality o o o
11. How well
does the student handle his/her finances? ________________________________
_____________________________________________________________________
In your opinion, what is the applicant’s
ability to pay the college fees? ___________________
_____________________________________________________________________
12. Do you
believe that the applicant will be able to cope with the formal part of the
study programme?
_____________________________________________________________________
13. Additional information
Please add any comments which may be
helpful to us in deciding the suitability of the applicant.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
14. Would you
recommend the applicant to be admitted to the GLObal
English Institute.
o No
o With some
hesitation
o Yes o Highly Recommended
Name (please
print) ________________________________________________________
Signature _______________________ Date ______________________________________
Address _________________________________________________________________
______________________________ Postcode __________________________________
Phone_______________________________________
Please return this form to:
The ESL Co-ordinator, PO Box 171, Riverstone NSW 2765, Australia.
Fax: +61 2 9627 3342; email: admin@glo-australia.com)
------------------------------------------------------------------------------------------------------------
From Employer / Friend
1. How long and in what context have you known the
applicant? ____________________________
__________________________________________________________________________
2. Please describe the applicant’s home life. (or college life) _________________________________
__________________________________________________________________________
3. Please describe the applicant’s spiritual life. ___________________________________________
__________________________________________________________________________
4. Please describe the applicant’s social life. ____________________________________________
__________________________________________________________________________
5. Has the applicant been in engaged in any Christian
work? ________________________________
__________________________________________________________________________
6. How reliable is the applicant in carrying out his/her
duties? _______________________________
__________________________________________________________________________
7. What are his/her strengths? ______________________________________________________
__________________________________________________________________________
8. Are you aware of any behavioural problems in the
applicant’s life? __________________________
__________________________________________________________________________
9. Does the applicant have any attitudes or habits which
are not consistent with Biblical standards? _____
__________________________________________________________________________
__________________________________________________________________________
10. How would you rate the applicant in the following areas? Please place a tick on the appropriate box, or leave blank if you don’t know.
High Average Low
Self
control
o
o
o
Teachability o o o
Concern for others o o o
Dependability
o
o
o
Spiritual life o o o
Social
maturity
o
o
o
Christian testimony o o o
(where applicable)
Emotional stability o o o
Motivation o o o
Intellect o o o
Physical Vitality o o o
11. How well
does the student handle his/her finances? ________________________________
_____________________________________________________________________
In your opinion, what is the applicant’s
ability to pay the college fees? ___________________
_____________________________________________________________________
12. Do you
believe that the applicant will be able to cope with the formal part of the
study programme?
_____________________________________________________________________
13. Additional information
Please add any comments which may be
helpful to us in deciding the suitability of the applicant.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
14. Would you
recommend the applicant to be admitted to the GLObal
English Institute.
o No
o With some
hesitation
o Yes o Highly Recommended
Name (please
print) ________________________________________________________
Signature _______________________ Date ______________________________________
Address _________________________________________________________________
______________________________ Postcode __________________________________
Phone_______________________________________
Please return this form to:
The ESL Co-ordinator, PO Box 171, Riverstone NSW 2765, Australia.
Fax: +61 2 9627 3342; email: admin@glo-australia.com)