black and blue 95

Since 1984

Join IIE

About IIE

    Institute of Intensive English                                                                                    ...Honolulu, Hawaii
             iiemahalo@hawaii.rr.com  
Tel : 808.924.2117  Fax : 808.924.3227       
               2155 Kalakaua Avenue, Suite 700  Honolulu, HI 96815, USA

IIE REGISTRATION FORM

STEP 1

The registration has two steps. STEP 1 is general information. STEP 2 is the payment.

STUDENT INFORMATION

First name *

Middle name *

Last name *

Country of Birth *

Country of Citizenship *

Current Address & Contact Information

Street *

City *

State / Province *

Zip Code *

Country *

Phone *

Email address *

Hawaii Address (if known)

Street

City

Zip code

Phone

Emergency Contact

Name *

Phone *

Relationship *

PROGRAM INFORMATION

Type of Visa *

If F1 Visa, please follow these instructions

If other, please explain :

Start Date *

    

End Date *

    

Start Dates are Mondays, except test Weeks.

End dates are Fridays for students with F1 Visas.

English Program *

You may select more than one.

Intensive English Program (IEP)*

Short-Term English Program (STEP)

Acedemic Track (Acedemic English/Academic TOEFL)**

Cambridge Test Prep **

English Cafe (Small afternoon study Group)

50+ Cafe (Small afternoon study groups for ages 50 and over)

Business Cafe (Small afternoon Business English study group )

Super Intensive English Program 28 (IEP + Cafe)*

Childrens Program (K-STEP: 6-12 years / J-STEP: 13-17 years)

Hawaiian English Adventures (English lessons + Activities package)

Private Lessons

Hawaiian Activities (hula, surfing, ukulele, quilting, lei making. )

*   The IEP and Super intensive 28 are open to students with F-1 visas. **  Students must be atleast upper-intermediate level.

OTHER INFORMATION

Have you studied at IIE before ?

How did you hear about IIE ?

If other, please describe :

Are you transferring from another School ?

Accommodation

Do you need housing ?

If yes, which school ?

Please complete and send in our Accommodation Form.

Airport Transfer

I need a ride from the airport. I need ...

Arrival

Airline

Flight Number

Date of arrival

Time of arrival

Departure

Airline

Flight number

Date of departure

Time of departure

Payment

There is a nonrefundable Registration Fee of $100.

When IIE receives your Registration, IIE will send you an E-mail with instructions regarding payment.

Once you receive payment instructions, you may complete STEP 2 for payments.

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