Enrollment Application Form

To apply for English courses at our language school in South Bay, Los Angeles, fill in the form below and click on submit
or click here to download and fill out a PDF version of this form.

Personal Information Family Name*
Given Name*
Date of Birth (Month/Day/Year)*
Gender Male Female
Nationality
Native Language
Current Occupation
Agency Name (if applicable)

Home Contact Information Country*
Address 1*
Address 2
City
State/Prov
Postal Code
Phone
Fax
Mobile
Email*

Visa Information Passport Number
Passport Expiry (Month/Day/Year)
Type of Visa Student(F-1) B1/B2tourist Visa Waiver Other

Educational Background Highest Level of Education.
Have you completed an Eng. Course Yes No
When? (Month/Day/Year)
Where?
Course Duration? (# of months)
TOEFL score
IELTS score
TOEIC score
Level Completed? Beginner Intermediate Advanced
Your current level of Eng. is? Beginner Intermediate Advanced

Misc Do you require airport pickup? Yes No
Do you want Homestay? Yes No
Comments

Refund Policy Refund Policy

                GEOS LOS ANGELES REFUND POLICY
                ------------------------------

We are confident that you will be satisfied with our school, your language classes, and the customer service you receive. 
However, we do understand that you may have the need to change your plans. Please feel free to discuss you situation with 
a staff member. We are here to help you.

Student Authorization Related Withdrawals
    In case of a visa refusal, a full refund minus the non-refundable fees and fees for any services rendered such as 
    accommodation placement and shipping fees,can be made if the student provides the Letter of Refusal issued by 
	the Canadian Embassy at least 14 days prior to the course start date. 
	After this date, GEOS will consider the participation of the student as confirmed, and
    Cancellation / Rebooking Fees will apply.
    If the visa has not been issued 15 days before the course start date, GEOS strongly recommends postponing the 
    course. In this case, the first Rebooking Fee (from $65USD) will not be charged.

Non-Student Authorization Related Withdrawals
    Notice of cancellation must be in writing, and a withdrawal may be effectuated by the student's written notice or 
    by the student's conduct, including, but not necessarily limited to, a student's lack of attendance.

    (a) If notice of cancellation is made by the 1st class session, or the 7th class day after enrollment, whichever 
        is later, GEOS shall refund 100% of the amount paid for institutional charges, less the non-refundable fees as 
        outlined in the school catalogue and enrollment agreement.
    (b) Students who have completed 60% or less of the period of attendance shall receive a pro rata refund (total 
        tuition, less the non-refundable fees included in the tuition, divided by the number of days in the program, 
        minus the number of days attended). There is no refund for students who have completed 61% or more of the 
        period of attendance.
    (c) All refunds will be made within 45 days of a student's cancellation or withdrawal.


In the unlikely event the school won't be able to create a group course due it not having enough students at the same 
time/level, smaller group or Private Tutorials for a reduced amount of lessons will be provided instead 
(20 lessons = 12 lessons / 30 lessons = 18 lessons).

Under the rare circumstances of our being forced to cancel, all fees paid for GEOS Languages PLUS services will be 
refunded. The minimum number of participants for exam preparation courses is 4 students.

REFUND DUE DATES:
All refunds will be paid within 45 calendar days of the first day of the term for those students that cancel. All 
refunds will be paid within 45 calendar days of notification for those students that withdraw. Students who enroll 
at GEOS with an overseas agency should collect their refund from that agency directly.

GEOS is not obligated to make any refunds to students who are dropped administratively due to the violation of its 
written disciplinary and/or attendance policies or local, state or federal law.

I have read and agree to the GEOS Los Angeles Refund Policy*

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English Courses

I had fun in GEOS. GEOS has friendly people. GEOS's teachers teach very politely. Many people come to GEOS from many countries. I can study different cultures. I thought the world was big, there are many people in the world. But there are many of my school students in GEOS.

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Enrollment Application Form