Student Request Booking Form - Malvern House Brighton

Name*

First Last

Gender

Date of Birth*

Nationality Country*

What is your first language?*

Address*

City*

Email Address*

Mobile Number*

Are you using a Booking Agent?*

Yes
No

Agent Name*

Emergency Contact Person (Relative/Friend)

Name

Relationship to You

Phone Number

Email Address

Full Time or Part Time / Evening Classes*

Full Time
Part Time & Evening

Do need visa?*

Yes
No

Please upload a copy of your passport if you need a visa letter.*

Accepted file types: jpg, png, pdf, gif, Max. file size: 4 MB.

Which course are you interested in ?

English Plus

Business English
English for Conversation
English for British Culture
VIP English

Which course are you interested in ?*

How many hours do you want to study a week?*

5 hours per week
7.5 hours per week
12.5 hours per week

Course start date*

How many weeks do you want to study?*

When can you study?*

How many hours do you want to study a week?*

Do you want Accommodation?*

Yes
No

Accommodation Type*

Homestay
Residence

Homestay Type*

Homestay Option*

Residence Type*

Accommodation start date*

Number of Weeks (Accommodation)*

Please enter a number from 1 to 44.

Do you have any Allergies?*

Yes
No

Please Specify*

Do you have any Disabilities?*

Yes
No

Please Specify*

Do you have any Medical Conditions?*

Yes
No

Please Specify*

Do you have any Special Educational Needs?*

Yes
No

Please Specify*

Do you want to book a transfer?*

If you are travelling to the UK for your course, please complete your travel details below.

Airline*

Flight number*

Arrival date*

Arrival airport*

Arrival Time*

Arrival Time (minutes)*

Departure date*

Departure airport*

Departure Time*

Departure Time (minutes)*

How many weeks do you want to study?*

Students are entitled to a one week holiday for every 12 weeks of study. If you are joining for less than 12 weeks, you are not entitled to extra class time free of charge, unless you let us know now. If you have any holiday booked please put the dates below.

Do you have any specific requests for flexible study ? Please state:*

I confirm that I have read a copy of the Terms and Conditions. I agree to abide by these Malvern House Rules. *

*Terms & Conditions are available HERE

We process personal information to enable us to: provide education, training and educational support services such as accommodation and travel to our clients. It is also necessary for us to ensure the Safeguarding of our students and maintain student welfare. In addition, this information is required for us to administer our school's property, maintain our own accounts and records and to support and manage our employees. Data is held, used and ultimately destroyed in strict accordance with The General Data Protection Regulation (GDPR) (EU) 2016/679. The full data protection policy can be found HERE