Holiday Request Form
This form is for General English students ONLY
This form must be submitted online 2 weeks prior to the desired holiday dates.
Holidays must be taken in ‘a week format’ (Monday to Friday) and not by days.
Student Details
Students Full Name
*
Given Name(s)
Family Name
Student ID Number
*
Date of Birth
*
-
Day
-
Month
Year
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Residential Address
*
Street Address
Street Address Line 2
Suburb
Post Code
State/Territory
Which level of General English are you currently studying?
*
Please Select
Elementary (A1)
Pre-Intermediate (A2)
Intermediate (B1)
Upper-Intermediate (B2)
How many weeks of Holidays would you like to take?
*
enter # of weeks
When would you like to take holidays?
*
/
Day
/
Month
Year
Holiday start date (must be a Monday)
*
/
Day
/
Month
Year
Holiday end date (must be a Friday)
Mini Holiday Start Day
/
Day
/
Month
Year
Date
The holiday start date needs to be a minimum of 2 weeks after the application date, or the {date}.
Why would you like to take holidays at this time?
*
Will you be travelling overseas during the requested holiday period?
*
Yes
No
Please attach a copy of your flight tickets
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Students Signature
*
Date of Application
*
/
Day
/
Month
Year
Submit
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