ONLINE APPLICATION FORM

Date of Birth（DOB)*

Year

Month

Date

Gender*
MaleFemaleOther

Country of Birth*

Nationality*

Passport Number*

First Language*

Email*

Phone*

Street*

City*

State/Province*

Postal Code*

Country*

Type of Visa*

Are you transferring from Global Village Hawaii from another school?*
NoYes

If "yes", tell us which school you are transferring from.

Have you ever learnt at Global VIllage before? (Including other campus of GV)*
NoYes

If "Yes", please tell us where and when.

Do you have any physical or mental health challenges?*
NoYes

If "Yes", please give details so that we can be prepared to best support you.

Name*

Relationship*

Phone*

Street

City

Zip Code

Number of Lessons*

Start Date*

End Date*

Period of Study

Your English level*

Do you want GV Hawaii to arrange your accommodation?*
YesNo

＜Arrival＞

Flight No.

Arrival Date

Arrival Time

＜Departure＞

Flight No.

Departure Date

Departure Time

Do you need airport transportation from or to the airport?
One way(Arrival)Two WayNo

How did you lean about Global Village Hawaii?

If "Others", pleaser give details.

Questions or Cooments?

I have read and agree to the bound by the General Conditions and the Cancellation and Refund Policy GENERAL POLICY/REFUND POLICYand certify that the information provided on this application form is correct.
Yes, I agree.

ONLINE APPLICATION FORM

PERSONAL INFORMATION

EMERGENCY CONTACT

ADDRESS IN HAWAII

PROGRAMS

ACCOMODATION

TRAVEL DETAILS

ADDITIONAL QUESTIONS