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EC ENROLMENT FORM 2018

Where do you want to study? Which course would you like to follow?
Course 20 lessons 24 lessons 30 lessons
Boston  New York  Washington  San Diego 

General English   

San Francisco  Los Angeles  Miami  Montreal 
English For Work n/a n/a 
Toronto  Vancouver  Dublin  Dublin 30+ 
English in the City n/a n/a 
London  Cambridge  Brighton  Bristol 
Academic English n/a n/a 
Oxford  Manchester  Malta  Cape Town 
Mini Group  n/a 
New York 30+  Toronto 30+  London 30+  Malta 30+ 
Business Mini Group  n/a 
About you
Cambridge Exam Preparation
 n/a 
Male  Female  FCE  CAE  CPE 
First name: Midward Higher Score®
  
Family name: Charaja Copaja TOEFL  IELTS  TOEIC 

Date of birth: (DD/MM/YYYY) Academic Semester/Year   


19/07/1981
Nationality: General French   
Peruana
What country do you live in? Arequipa French for Work n/a n/a 

Passport number: 118237449 Expiry Date: French Exam Preparation (DELF/DALF) n/a n/a 
4/12/2023
What languages do you speak? Bilingual Programme n/a  

Español French Academic Semester/Year   

One-to-One Number of lessons


Occupation and company:
Club 50+ 
Coordinador de Calidad Educativa - TECSUP
English for Global Career Development 8 weeks  16 weeks 
Emergency contact (name & phone number):
Career English in Practice 
Giovana - 984142492 Internship 

Address in your country: California Dreamin’ Programme 3 weeks  6 weeks 

Psj. Ancón 109 - Miraflores English Plus


Telephone: 054623079 Fusion 12  Fusion 6 

Surfing  Dancing 
Mobile: 947653338
Gastronomy  Safari 
Email: midward2012@gmail.com - mcharaja@tecsup.edu.pe
Farmstay  30+ Master Class 
How did you hear about us?
Diving: PADI Open Water  PADI Advanced  PADI Combined 
Your level of English?
University Admissions Service
Beginner  Pre-Intermediate 
■ Upper Intermediate  Advanced 
Standard University Admissions Service 
Elementary  Intermediate  Pre Advanced  Proficiency 
Premium University Admissions Service 
Transfers & Flight Information
Additional University Application 1 Partner  1 Non-Partner 
Transfers required? One Way 
■ Return  None 
Your Accommodation
Arrival date: (DD/MM/YYYY)
20/1/2019
Do you require accommodation? Yes 
■ No 
Arrival flight number: Arrival time:
Arrival Date: (DD/MM/YYYY)
20/1/2019
Airport/city of origin:
Departure Date: (DD/MM/YYYY)
16/2/2019
Arrival airport (including terminal):
What type of accommodation would you like? Home stay
Departure date: (DD/MM/YYYY)
16/2/2019 Accommodation Type Type Board
Departure flight number: Please write the type or name of chosen Single Room 
■ Half Board 

accommodation:
Departure time: Twin Room  B&B 
Home stay
Departure airport (including terminal): Shared Room  Self-catering 

When do you want to study? Special Requests


Do you smoke? Yes  No 

Course start date: (DD/MM/YYYY)
21/1/2019 Course end date: (DD/MM/YYYY)
15/2/2019
Number of weeks: 4 Are you a vegetarian? Yes  No 

Do you require a Student Visa? (Please note that it is your Can you live with dogs? Yes 
✔ No 
Yes  No 
responsibility to obtain this if necessary) Can you live with cats? Yes  No 

Can you live with children? Yes 


✔ No 
I have read and accept the terms and conditions:
Special requirements (allergies, medical conditions, dietary requirements):
Signature:

Date:
18/1/2018
PLEASE NOTE: EC will aim to accommodate special requirements, however certain requests may not be pos-
sible or may incur additional charges. All special requests are subject to availability and confirmation.

We regard your privacy as important and shall comply with the Data Protection Act. We will only use any Optional Student Insurance
personal information herein contained for the purpose for which it is provided. By submitting this form,
Would you like to purchase
you acknowledge that EC will have access to it, and consent to such use. EC reserves the right to use Yes 
■ No 
student insurance?
information held herein for its internal marketing purposes. If you object to such use please tick here [ ]
EC TERMS AND CONDITIONS 2018
PAYMENTS - If EC cancels a programme after a student’s Course cancellation, reduction after arrival, - For students cancelling after arrival, the
Payments may be made by bank transfer or enrolment, EC will refund all monies already or “no shows” refund due will be paid within 45 calendar
credit card and must be received in full 14 paid. For courses of 4 weeks or fewer, lessons days from the date of determination of
days prior to the course start date. A deposit - Students who require a visa/temporary cannot be cancelled. Tuition fees are not cancellation.
must be paid immediately upon booking. A residence permit may not be able to shorten refundable. - Any refunds due will be paid to the person or
booking confirmation will only be sent when their course due to the terms of their visa/ Any cancellations made mid-week will be organisation who originally paid the fees.
a deposit has been received. Bank details are temporary residence permit. considered a full week. There are no partial CHANGES TO ENROLMENT
provided on the invoice. week refunds.
- In the event that a refund is due, prorated EC reserves the right to charge an
Payment must include all bank transfer refunds will be calculated on a weekly basis. US only: Students who enter the US on an I-20 administration fee of 150CAD/50GBP/80EUR
charges (including intermediary bank When determining the number of weeks, EC obtained through EC who either cancel their each time the course, accommodation or
charges). will consider a partial week the same as if a course prior to the course start date or who centre is changed or postponed after EC has
VISAS whole week were completed, provided the never attend their course will be charged the confirmed the initial enrolment. This also
- EC cannot be held responsible for decisions student was present at least one day during following fees: includes requests for changes whilst the
taken by embassies or immigration police the scheduled week. - For a programme of 11 weeks or fewer; student is at school. (Not applicable in the
regarding entry visas or visa extensions. All students attending an EC Centre will be all tuition charges for up to 4 weeks, any USA).
- Visa advice can only be given by the subject to destination specific applicable accommodation charges incurred and any A downgrade in course type after booking
appropriate Embassy, Consulate or High state or provincial Enrolment and Refund non-refundable charges (US $160 registration is considered a cancellation and the same
Commission. Students should contact Agreement policies. For US students, when fee, US$90 accommodation placement refund policies will apply.
their local Embassy, Consulate or High comparing state versus ACCET policies, the fee, US$75 courier fees, and US$25 student SESSION BREAKS
Commission to ensure they are allowed to more favourable policies for students will be insurance fees) Session breaks are dependent upon
enter and study in their chosen location. applied. - For a programme of 12 weeks or more; all the destination, course duration and visa
Students must maintain a valid visa status Accommodation cancellation or tuition charges for up to six weeks of the first requirements and are subject to EC’s session
and their course will be terminated without postponement prior to arrival term/session, any actual accommodation break policy, available from: http://partners.
a valid visa. costs incurred by the institution, any non- ecenglish.com/sessionbreakpolicy.pdf
All schools:
- It is the responsibility of the applicant to refundable charges (US$160 registration PUBLIC HOLIDAYS 2017 - FALLING ON A
- EC accommodation: Students cancelling or
ensure that the most updated regulations/ fee, US$90 accommodation placement WEEKDAY
postponing fewer than 14 days before arrival
processes are being followed. EC cannot fee, US$75 courier fee and US$25 student All EC centres will be closed on Public
will be charged a one week accommodation
be held responsible for any visa regulation insurance fee) Holidays. Centres do not make up for lessons
fee at the standard accommodation rate and
changes which occur after the booking has - Students wishing to transfer to another non- missed on these dates. Exceptions are made
the accommodation placement fee.
been confirmed in compliance with the then EC F-1 institution prior to programme start, for One-to-One lessons, which will be made
existing regulations. - Non-EC accommodation (i.e.
but after entry to the US, are requested to up. An updated list of public holiday dates can
accommodation contracted by EC
- A visa document courier fee is charged appear at their school in person, to verify be found on individual school pages and on
through external suppliers) have different
each time documents have to be sent by identity, with the appropriate documents the EC website.
cancellation terms. For hotels and self-
courier (see individual school pages for in order to be transferred in active status. There is no refund for lessons missed.
catering apartments booked through EC but
fee). If a visa application is rejected and we All I-20s will be transferred, as long as Published course start dates fall on a Monday.
not featured in the EC Price List, reservations
receive written evidence at least 7 days prior appropriate documents provided either in If this day is a public holiday, the course will
must be cancelled or postponed 30 days
to arrival, we will refund the fees received person or via fax/email. begin on the following working day.
prior to arrival to avoid a cancellation fee
in full, less any bank charges and any non- All Schools:
which may amount to the full stay charge. CHRISTMAS HOLIDAYS 2018/19
refundable fees (registration fee, courier fees For all courses of 5 weeks & over:
For this reason we remind you that in cases Schools will be closed on Public holidays
and bank charges).
of hotel or self-catering apartment bookings, - Students who terminate their course in the during this time (see the individual school
- For students studying outside the US, a payment in full is expected one month prior first 4 weeks: will be refunded all tuition price list). Lessons will not be made up on
cancellation fee equivalent to 1 week of to arrival. EC will inform you of the booking except the first 4 weeks (at the non- these days.
accommodation and tuition in addition to terms when confirming the booking. discounted rate in EC Price List). REDUCTION OF LESSONS
non- refundable charges (above) will apply if
Accommodation cancellation after arrival The first four weeks of all course bookings EC reserves the right to reduce the number of
we receive written evidence of visa rejection
Students leaving their accommodation are non-refundable and there are no refunds lessons in a class due to insufficient number
fewer than 7 days prior to arrival.
must give notice in writing 4 weeks prior for courses less than 4 weeks. For all courses of students. The lessons may be reduced as
- Should EC receive positive visa application to termination. After deducting the price over 4 weeks, refunds will be prorated based follows:
results fewer than 7 working days prior of accommodation used, including the on the non-discounted rate which can be - General 20/Exam 20/Academic Year 20/Semi-
to arrival, EC reserves the right to offer required notice period, charged at standard found in the EC Pricelist. Refunds are based Intensive 24: If 1-3 students in class lessons
alternative accommodation, which may incur accommodation rates, students will be on the date of determination and course reduced to 10 lessons/ week; If 4-6 students
additional charges. refunded the remaining accommodation cancellations made after the midpoint of a in class lessons reduced to 15 lessons/week
- Should the arrival day be postponed due costs. course will not be refunded.
- Mini Group 20/Business English Mini Group
to delayed visa applications EC cannot If the 4 week notice period is not provided - Students who terminate their course after 20: If 1-3 students in the class lessons
guarantee the original accommodation a cancellation fee equal to 4 weeks of the the mid-point of their course will not be reduced to 15 lessons/ week
allocation. accommodation cost will apply. refunded.
- Intensive/Exam 30/Academic Year 30: If
- Should EC have incurred any charges in Please note: Certain accommodation options California Only: Students who complete 60 1-3 students in class lessons reduced to
reserving the accommodation for the may be subject to alternative cancellation percent or less of the period of attendance 15 lessons/week; If 4-6 students in class
student, EC reserve the right to pass these charges. Should these differ from above, shall be issued a pro rata refund. lessons reduced to 20 lessons/week
charges on. students will be notified at the time of Vancouver Only: Refunds will be calculated - Mini Group 30/Business English Mini Group
US only: EC is authorised under federal law booking. as per below according to the percentage of 30: If 1-3 students in the class lessons
to enroll F-1 non-immigrant students. By law, Cancellation prior to arrival the course completed including the notice reduced to 20 lessons/week
to issue the I-20 form, with the enrolment All Schools: period: If up to 10% of the program has been
form EC must receive: the student’s home - Club 50+: If 1-3 students in class - courses
- To students cancelling 14 days or fewer prior completed there is a 70% refund of unused
address, a copy of the student’s passport, change to standard Mini Group 20 and the
to the course or accommodation start date tuition fees. If 11-30% of the program has been
proof of sufficient funds to meet tuition and social programme will change slightly
(whichever comes first), or to students who completed, there is a 50% refund of unused
living expenses through a current (60 days or tuition fees. If more than 30% of the program English in the City / English for Work / Global
have had their visa application rejected,
less) bank statement or letter from either the has completed, there is no refund on unused Career Development / Academic English: If 1-3
EC will refund fees received in full less
student’s sponsoring person’s or institution’s tuition fees. students reduced to 4 lessons per week; if 4-6
non-refundable charges (registration fee,
bank. Sponsors must also provide an affidavit students reduced to 6 lessons a week.
accommodation placement fee, courier Refund Due Dates
of support.
fees and student insurance fees), the value If a student does not agree to the reduction
- For students cancelling before arrival,
REFUNDS AND CANCELLATION FEES of these fees vary according to region, the of lessons and wishes to change their course,
refunds will be made within 45 calendar days
- All refunds are made to the original fee payer. costs are listed for each school in the price cancel their course or transfer to another
of the first scheduled day of class or the
No written notification of cancellation is list. location where they will not need to reduce
documented date of cancellation, whichever
required, except in California. lessons, students are not penalized for this
- The refund will be made within 45 days. is earlier.
30 change and would be refunded appropriately.
US Only: Students studying on a valid I20 notice. to disclose any mental or physical illness, a result of any such cause. Such causes
must maintain 18 clock hours per week. In - Any class, One-to-One or Master Class that allergy, disability or condition that may shall include but shall not be limited to act
the event of reduced hours should a student is cancelled by EC will be entitled to a full interfere with their ability to successfully of government, war, threat of war, riot, civil
fall below the minimum hours per week, I20s refund. complete their programme, that may impact strife, industrial dispute, terrorist activity,
will be put on a reduced course load until the wellbeing of any other student or staff natural or nuclear disaster, unusually adverse
- English in the City - some activities outside
hours can be met. member, that may require monitoring, weather conditions and infectious diseases.
of the classroom may incur extra costs.
REISSUING LOST/MISPLACED STUDENT treatment or emergency intervention during FUSION
ACCOMMODATION the student’s period of enrolment, or that
CERTIFICATES Please see Fusion terms and conditions
- Students arriving between 20.00 – 08.00 may may require special accommodation.
Paper reprint 60USD/60CAD/30GBP/30EUR following the link www.ecenglish.com/fusion/
be asked to book alternative accommodation
Electronic files can be sent at no cost EC will not discriminate on the basis of any terms-and-conditions
in a hotel on their first night due to late/
LEVEL OF ENGLISH/FRENCH above mentioned conditions and will provide ON CAMPUS
early arrival at accommodation. Some
If a student does not have the minimum reasonable accommodation to meet all Students attending an on campus school are
accommodation options may charge late
level of English/French required to follow students’ needs. Nevertheless, EC reserves advised that campus facilities may not be
arrival surcharges, this information is available
a specific course, as determined by EC’s the right to terminate a student’s enrolment available during campus holidays.
on request
Placement Test, EC reserves the right to if the student's participation represents a
- Where possible special dietary requirements AGENTS
move the student to an appropriate course risk to their, other students' or staff members’
will be accommodated. Availability and any EC Terms and Conditions are applicable to all
for their level. health and safety, or if, notwithstanding
applicable fees will be confirmed upon request students and agents representing students.
reasonable accommodations, in the opinion
SCHOLARSHIPS VALID PRICES
- EC may use carefully selected partners to of EC, the student’s physical or mental
Recipients of scholarships or government Prices are valid from 1 January 2018. Prices
house students with suitable Homestay condition makes the student unable to
grants should expect to pay a deposit to the are subject to change without notice and will
providers. successfully complete their programme.
school they are attending in cases where be confirmed upon invoicing.
Refunds will be provided based on typical
reimbursement to the school is not provided - Students must arrive at Homestay
refund schedules as per terms and TERMS AND CONDITIONS
prior to the student commencing their accommodation before 22:00. Students
conditions. The current EC Terms and Conditions supersede
course. arriving after 22:00 may be asked to book
alternative accommodation in a hotel on DAMAGE TO PROPERTY any previous Terms & Conditions that were
TRANSFERS applicable at the time of student’s booking. The
their first night due to late/early arrival Students must pay the full cost of
Flight details including: arrival time, flight most up to date terms and conditions can be
at Homestay. Applies to Homestay in all any damage they cause to property.
numbers, airline and point of origin must be found at www.ecenglish.com.
destinations except Malta. Damage deposits may apply to certain
advised 7 days prior to arrival in order for EC
accommodation options. These are payable
to provide airport transfers. No refunds will Students under 18 at the time of booking an
upon arrival, or the first day of school.
be granted on transfers if flight details are adult course (Vancouver, 19) are required to
not sent to EC at least 7 days prior to arrival. book a homestay with EC for the duration of INSURANCE
Airport transfer fees include a maximum of their course. Student Insurance is available from EC:
1 hour waiting time. In the event of delays UK, Ireland and Malta: Combined health and
LOCAL TAXES
exceeding 1 hour, students will be charged travel insurance.
Local taxes may apply to a students booking
the additional fee at the school. US, Canada and Cape Town: Health
and will be clearly displayed upon invoicing.
insurance only.
Transfer cancellations made within 24 hours SUPERVISION
of arrival will be charged in full. - For detailed information on the insurance
Please note EC does not provide supervision
policies above, please refer to your EC
Students under 18 (Vancouver under 19) for students who book an adult course.
contact or the EC Partners Site.
booked on an adult course are required to All students under 18 (Vancouver 19) will be
purchase transfers through EC. - Students must have adequate health,
required to complete a parental liability and
accident and travel insurance while
CLASS INFORMATION waiver form prior to arrival. Please speak with
attending any programmes. EC schools
- Courses run from Monday to Friday and are your booking contact for more details.
in the US and Canada require students
scheduled in the morning and/or afternoon. EXPULSION to show a proof of health insurance upon
EC reserves the right to change timetable - EC reserves the right to expel students arrival. Where proof is not available,
structure. for unacceptable or unlawful behaviour or students must immediately purchase at
- EC reserves the right to use classrooms in lack of attendance. No refund will be given least one week’s insurance from EC. EC
alternative premises of a similar standard. and any unpaid fees become immediately reserves the right to claim this cost from
payable (excluding US). Repatriation is at uninsured students, and during this week
- Special focus classes, free language
student’s own expense. EC requires that students must purchase insurance for
workshops and language activities may vary
students maintain an attendance level of a their entire stay. Uninsured students may
between centres and are subject to change
minimum of 80%. not attend class until proof of insurance is
due to availability.
- Students expelled from an EC course are available, and will not be refunded for lost
- One-to-One lessons and Master Classes
no longer eligible for EC housing. Housing class time.
are dependent on availability of staff and
refund policies will apply. - Students attending an EC On-Campus
classroom space and will be scheduled
accordingly. Lessons may be offered outside - EC has a zero tolerance policy for program may be required to purchase
of regular class times and are subject to discrimination, bullying and harassment university insurance and provide proof of
teacher and classroom availability. in the workplace and the classroom. vaccinations/Health Declaration. Please
Discrimination, bullying and harassment is refer to your EC contact for details.
- One-to-One reserved with less than 48
unacceptable, against the law, and will not LIABILITY
hours notice may not be accommodated
be tolerated. EC and its staff and representatives will not
- All One-to-One and Master Class lessons
PHOTOGRAPHY & FILMING be liable for loss, damage or injury to persons
require 72 hours notice for cancellation,
Students agree that photographs, videos, or property howsoever caused, except where
postponement or changes for a refund to be
artwork or other works, as well as recorded liability is expressly imposed by law. EC will
calculated. Sessions cancelled, postponed
or written testimonials; may be used, stored not be liable in the event that any service
or changed in less than 72 hours will be
or transferred internationally by EC, or by a contracted to be supplied by EC becomes
charged in full.
third party agent, for promotional purposes impossible to supply for any reason or any
- One to one sessions booked in lieu of including printed and online marketing cause outside the control of EC.
course packages (20 lessons or more per materials and on any social media network FORCE MAJEURE
week), will be treated like all other EC without further consent or notification. If EC will not be responsible for any failure
programs and refunded as per standard students do not wish to participate, EC will to comply with any of its obligations (and
terms and conditions. respect their wishes but it is the student’s therefore shall not be required to provide any
- Should there be fewer than 3 students of responsibility to absent themselves from the compensation) if the failure is occasioned by
a similar language proficiency level who photograph/video. any cause beyond EC’s reasonable control.
have booked the Master Class, EC reserves HEALTH DECLARATION Nor shall EC be responsible for any costs
the right to cancel the class with 48 hours It is recommended that students choose incurred by or on behalf of the student as 31
FUSION TERMS AND CONDITIONS
Last Updated: July, 2017

PROGRAMME STRUCTURE TUTORING AND TUTORING CREDITS

• Fusion 12 is 52 weeks long. Fusion 6 is 26 weeks long. Private Sessions

• The Fusion programme consists of four stages: • Students will receive and be able to purchase live tutoring credits (“Credits”) to
schedule private sessions through the Fusion platform. These are 30 minutes and
• Online self-study – Access to the digital platform marks the start date of the require 2 Credits each.
Fusion programme.
• Sessions can be scheduled according to the student’s preferences and teacher/
• Pre-Immersion period – Before students travel to their EC course, this period virtual classroom availability.
also includes live preparatory group sessions (45 mins) and private sessions
(30 mins) with an EC teacher. • Students may cancel a scheduled session up to 24 hours before the class start
Fusion 12 (8 weeks prior to the start date of the EC course) includes: 16 group time and receive a full refund in Credits. No Credit refund will be provided for
+ 8 private sessions cancellations made less than 24 hours before the class start time. Credits are
Fusion 6 (4 weeks prior to the start date of the EC course) includes: 8 group + non-transferable.
4 private sessions
• All Credits available during the Pre-Immersion period will expire on the last day of
• Immersion period – Continuous access to the online self-study platform the Pre-Immersion period. All Credits available during the Post-Immersion period
while attending the EC course. will expire on the last day of the Post-Immersion period.

• Post-Immersion period – Access to the platform continues until the end Preparatory Group Sessions
of the Fusion programme. This period also includes live group conversation
sessions (30 mins) and private sessions (30 mins). • These sessions are 45 minutes each.
Fusion 12: Unlimited conversation sessions + 4 private sessions • They can be scheduled in advance at pre-determined times. If students do not
Fusion 6: Unlimited conversation sessions + 2 private sessions find a convenient session to join, they can contact the Fusion Director of Studies
(DOS) to request a different time.
FUSION PLATFORM
• Students can reserve group sessions up to the time of the session (if there are
• Students must be at least 13 years old to participate. For students under 18, still seats available). They can cancel up to ten minutes before the session in
signed parental consent will be needed. order for the session to not count as reserved.
• EC may offer special promotions with differing conditions and limitations. Any • These sessions must be taken before the end of the Pre-Immersion period.
materially different terms from those described in these Terms of Use will be
disclosed at enrolment. Conversation Sessions

PAYMENT • These sessions are 30 minutes each.

• Payments may be made in cash, bank transfer or credit card and must be • They are available to join multiple times a day during the Post-Immersion period.
received in full 2 weeks before the pre-immersion period. • Students have access to unlimited sessions until the last day of their Fusion
• A non-refundable deposit of USD160/CAD200/GBP125/EUR140 must be paid programme.
immediately upon booking. A booking confirmation will only be sent when a
PRIVACY POLICY
deposit has been received. Payment must include all bank transfer charges
(including intermediary bank charges) if applicable. Fusion’s Privacy Policy applies. For details please go to:
https://www.ecfusion.com/en/privacy-policy/
REFUND POLICY AND CANCELLATION

• All refunds are made to the original fee payer. No written notification of
cancellation is required, except in California.

• If a student visa is rejected for the EC course abroad, the student can still
complete the Fusion programme online and in the case of cancellation request,
Fusion refund policy and cancellation will apply as below:

• If cancellation is requested at least one week before the start date of Pre-
Immersion period, EC will refund fees received in full, less the non-refundable
fees of USD160/CAD200/GBP125/EUR140 (online licence)

• If cancellation is requested before the mid-point* of the Pre-Immersion


period, EC will refund 50% of the amount paid, less the non-refundable fee.

• If cancellation is requested after the mid-point* of the Pre-Immersion period,


students will not be refunded.
*Mid-point of the Pre-Immersion period means when students have
completed half the live lessons. For Fusion 12, mid-point is reached upon
completion of 4 private sessions and 8 group sessions. For Fusion 6, mid-
point is reached upon completion of 2 private sessions and 4 group sessions.

• Refunds will be made within 45 calendar days of the documented date of


cancellation.

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