OXFORD SUMMER ACADEMY

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Summer Application Form



1. Contact Details

 

Parent/Guardian

Relationship to student:

Address:

Title:

 

First Name:

 

Surname:

 

*Main email:

County or State:

Other email:

Country:

Phone numbers:

Post or Zip code:

 

Mobile/other nos:

How you know about us:

   

If a friend/agent recommended us please tell us their name so we can thank them:

 

Student

First name:

Address
(if different from the address above):

Surname:

Email:

Mobile:

 

High-School

County or State:

Nationality:

Country:

Educational needs:

Disability or other special needs:

Special dietary requirement:

 

Vegetarian

Date of birth:

Gender:

We can accept mature and academically gifted 15 year olds. To ensure a 15 year old will be able to keep up with the courses we

offer, we ask for a copy of a school report, a recommendation from a teacher or something similar. Please email Genevieve Dear.

 

Medical Conditions or Allergies

It is vital that we have information about the student's medical conditions or allergies in case of emergencies.

Medical Conditions or medication the student will need to take during the course:

 

Allergies:

 

Permission for Photographs and Video Interviews

Our staff may take photographs or short video interviews of students for the use in promotional material and our website and facebook pages. Group photographs are made available to all students free of charge.
  Photos:
Videos:
 

Yes

Yes

 

No

No

 


2. Course Dates


Please tick which course you wish to attend:

  Two-Week OSA Course (£4,500): 30 June to 13 July 2019
  Two-Week OSA Course (£4,500): 14 July to 27 July 2019
  Four-Week OSA Course (£8,700): 30 June to 27 July 2019

 


3. Subject Choices


Two-Week Courses »

If you are booking a four week course with us, please skip this section.

Choose first AND second choices for your Major, Minor and Elective.

If you are choosing one of our "Young Programmes", please select your chosen options from the drop down list in the ‘First choice Major’ and ‘Second choice Major’ box, leaving all others blank.

If you wish to study PPE, please select this as both your major and minor option. You have a free choice for your elective.

First choice Major: Second choice Major:
First choice Minor: Second choice Minor:
First choice Elective: Second choice Elective:

 

 

Four-Week Course »

Subjects for first fortnight:

If you are booking a four week course with us, please skip this section.

Choose first AND second choices for your Major, Minor and Elective.

If you are choosing one of our "Young Programmes", please select your chosen options from the drop down list in the ‘First choice Major’ and ‘Second choice Major’ box, leaving all others blank.

If you wish to study PPE, please select this as both your major and minor option. You have a free choice for your elective.

First choice Major: Second choice Major:
First choice Minor: Second choice Minor:
First choice Elective: Second choice Elective:

 

Subjects for second fortnight:

Choose first AND second choices for your Major, Minor and Elective.

First choice Major: Second choice Major:
First choice Minor: Second choice Minor:
First choice Elective: Second choice Elective:

 

 


4. Further information

Tell us what you would like to achieve from
the Oxford Summer Academy

Please let us know whether you will require transport to and from an airport

Is this registration part of a group booking?

Type of Group Booking

If appropriate, please list the names of the other students in the group booking

 


5. Submit Your Application Form

Terms and Conditions

By submitting this form you confirm that you have read and agree to our Terms and Conditions.

 

 

 

 


Oxford Summer Academy| www.oxfordsummer.com | info@oxfordsummer.com | 1 London Place | Oxford OX4 1BD | +44 (0)1865 594347
A private company registered in England & Wales, registration no. 07139126