ABOUT THE STUDENT

Mr. Mrs. Miss.
Family Name
Ivanova
First Name
Sofia
Occupation
manager
Male Female Nationality
Russian Federation
Date of Birth:   Day
01
  Month
02
  Year
1980
  Marital Status
single
Mailing Address
27/2 Yanvarskiy pr., apt.16
City
St.Petersburg
  Postal Code
154069
State
           
  Country
Russian Federation
Home Phone
+7 812 3225808
  Mobile Phone
+7 812 3225809
Fax
+7 812 3225810
  E-mail
info@iqconsultancy.ru

Please send this application form to:

The Admissions Department
Les Roches
International School
of Hotel Management
Rue du Lac 118 - 4th floor
CH-1815 Clarens - Switzerland

Phone: +41 (0)21 989 26 44
Fax: +41 (0)21 989 26 45
E-mail: admissions@les-roches.ch
Website: www.lesroches.edu

EDUCATION

Укажите Ваше последнее место обучения (или настоящее место обучения, если Вы являетесь студентом на данный момент).

School - College ?- University   Certificate - Diploma - Degree   Dates
University of Economic and Finance
 
Specialist (5 years)
 
1997-2002

PROFESSIONAL EXPERIENCE     

Укажите Ваше последнее место работы (или настоящее место работы, если Вы работаете на данный момент).

Most Recent Company / Hotel   Position held   Dates
IQ Consultancy
 
Financial Director
 
2003-present

ABOUT THE PARENT OR LEGAL GUARDIAN AND FINANCIAL SPONSOR

Если Вы несовершеннолетний(яя) - укажите данные одного из ваших ближайших родственников.

Если Вы совершеннолетний(яя) - укажите данные человека оплачивающего ваше обучение. В случае если Вы самостоятельно оплачиваете Ваше обучение - укажите собственные данные.


Mr. Mrs. Miss. Nationality
Russian Federation
Family Name
Ivanov
  First Name
Vladimir
Profession
General Director
Mailing Address
the same
City
the same
  Postal Code
the same
  Country
the same
Home Phone
the same
  Work Phone
the same
  Fax
the same
Mobile Phone
+7 812 3183390
E-mail
info@iqconsultancy.ru
If you reside in Switzerland, please specify if you have a:     Swiss B permit   Swiss C permit

Является ли вышеуказанное лицо вашим финансовым спонсором (человеком спонсирующим ваше обучение)?

Если нет - заполните ниже данные вашего финансового спонсора.


Is the above person your financial sponsor? Yes No If not, please fill in the details of your financial sponsor below.
  
Mr. Mrs. Miss. Nationality
           
Family Name
           
  First Name
           
Mailing Address
           
City
           
  Postal Code
           
  Country
           
Home Phone
           
   Work Phone
           
Mobile Phone
           
  Fax
           
E-mail
           

ACADEMIC PROGRAMMES

Please tick the program you wish to enroll on (one choice only).

The courses below start either in January or July:

A1 Swiss Hotel Association Hotel            Management Diplome
B   BSc (Honours) in Food Services            Management
C   MBA in Hospitality (through UEM) with
Finance or Marketing
D   Intensive English Language Course

Please indicate the year you wish to start:

January 20
10
  July 20
           
 
A2 BBA in International Hotel Management            with
Entrepreneurship or
Finance or
Marketing
E1 Post Graduate Diploma in Hospitality            Administration
E2 Post Graduate Higher Diploma in            Hospitality Management

Please indicate the year you wish to start:

February 20
           
  August 20
           

HOW DID YOU HEAR ABOUT US?

Les Roches       Educational Counselor* Industry Professional Student / Alumus dvertising / Article in       newspaper or magazine*
Education Fair* Internet ? Website Your School Counselor*
Other, please specify
www.swisshotelschools.ru
  *Please give the name
           

MOTHER TONGUE AND ENGLISH LEVEL

Если Вы не сдавали международных экзаменов по английскому языку - заполните только поле Your Mother Tongue.

If English is not your mother tongue or if you have not spent at least 3 years in an English speaking school, please indicate the score of one of the following:

TOEFL Score:
           
  Cambridge First Certificate Score:
           
  IELTS Score:
           
Other (Name + Score):
           
  Your Mother Tongue:
Russian

LAPTOP OPTION

Ваш ноутбук должен соответствовать данным требованиям в случае, если Вы выбираете "привезти свой ноутбук".

I will bring my own laptop which meets the Institution?s requirements
I would like to purchase the laptop through Les Roches

ROOM AND BOARD - ADDITIONAL OPTIONS

I would like the following arrangement:

A double room (2 beds) part of the main fees A double room in Peter's Farm*
A single room* An uncovered parking space*
No room and board required (please refer to the Tuition Fees to check which program and semester do not have compulsory lodging and full board).

* Please refer to the Tuition & Fees for the additional price to be paid by semester for room A to D and for the Residence

Поле APPLICATION FEE не заполняется online!

Распечатайте анкету и внесите данные в поле APPLICATION FEE DETAILS от руки. Тем самым Вы даете разрешение на оплату регистрационного сбора университета в размере 100 швейцарских франков. Если по какой-либо причине Вы не хотите осуществлять платеж по кредитной карте, Вы можете сделать это банковским платежом. В этом случае Вам нужно перевести регистрационный сбор в размере 100 швейцарских франков на следующие банковские реквизиты:

UBS SA, 1002 Lausanne, SWITZERLAND
Account number: 243 H6167514.0
Beneficiary’s name: GESTHOTEL SA, Hotel Management School Les Roches
Swift Address: UBS WCHZH10A
IBAN: CH 1600243243H61675140

Если Вы перечислили регистрационный сбор (100 швейцарских франков) банковским платежом, необходимо также отправить с остальным пакетом документов подтверждение платежа, предоставленное Вам банком.

APPLICATION FEE

Please debit my credit card of CHF. 100.-

Visa
Eurocard/Mastercard
American Express
Card number  
           
/
           
/
           
/
           
Name
           
Expiry date
           
/
           
Security code number
           
/
           
(on the back of the credit card)

STATEMENT

I hereby declare that all information given on this form is exact and complete. I acknowledge having read and understood this document and all other pertaining documents and will abide by the Standards of Excellence of Les Roches.

I understand that the fees are modified once a year and I accept their revision (in summer). I hereby declare to abide by the Swiss law in case of a dispute related to the interpretation or to the execution of my legal obligation towards Les Roches and accept the exclusive competence of the Valais Cantonal court

Date & Signature of the Financial Sponsor (if not the legal guardian):
           
 

VERY IMPORTANT

Please return this form fully completed and make sure the following are enclosed:

  • Official copy of your High School Diploma/Degree or equivalent
  • Official copy of your final transcripts
  • School information with grading system*
  • Official copy of your English Language Certificate (TOEFL, IELTS, etc.)*
  • Copy of work certificate (if available)
  • Your Curriculum Vitae (Resume)
  • A Study Plan, duly dated and signed (250 words minimum)*
  • A Post Study Plan, duly dated and signed (150 words minimum) (Only for non European Union passport holders)
  • Referral letter of professional or academic nature* (Post Graduate and Master students only)
  • 2 passport size photographs
  • 1 photocopy of your valid passport showing your name and nationality
  • A letter of commitment from the financial sponsor
  • Duly filled in, signed and stamped Medical Certificate/Physician Report

* See admission requirements in the Academic Program leaflet

Date & Signature of the candidate:
           
Date & Signature of the parent / guardian:
           

Заполните в соответствии с Вашей медицинской историей. Распечатайте заполненную форму, поставьте собственную подпись и подпись Вашего спонсора, если Вам нет 18 лет.
Перевод основных болезней.

Name
Sofia Ivanova
Date of Birth : Day
01
  Month
02
  Year
1980
Sex: Male Female
Name of Parent / Guardian
Vladimir Ivanov
Mailing Address
27/2 Yanvarskiy pr., apt.16
City
St.Petersburg

Please send this application form to:

The Admissions Department
Les Roches
International School
of Hotel Management
Rue du Lac 118 - 4th floor 
CH-1815 Clarens - Switzerland

Phone:     +41 (0)21 989 26 44
Fax:         +41 (0)21 989 26 45
E-mail:    admissions@les-roches.ch
Website:  www.lesroches.edu

Postal Code
154069
  Country
Russia
Home Phone
+7 812 3225808
  Mobile Phone
+7 812 3225809
Fax
+7 812 3225810
  E-mail
info@iqconsultancy.ru

PERSONAL HISTORY

Have you ever had or do you suffer from:

  No Yes (if yes, when)     No Yes (if yes, when)     No Yes (if yes, when)
Chicken Pox
           
  Diabetes
           
  Epilepsy
           
Rubella
1983
  Tuberculosis
           
  Psychological Disorder
           
Measles
           
  Hepatitis A/B/C
           
  Sleeping Disorder
           
Mumps
           
  please specify  
           
  Eating Disorder
           

For the following points, please specify if you:

Have any other disease or have had an operation recently
no
Have dyslexia or other learning problems (indicate to what degree)
no
Have allergies to any medicine or other products
no
Take any medication on a regular basis
no
Take or have taken antidepressants
no
Are on a special diet
no
Have had any accident with mental or physical consequences
no

With regards to any of the above special needs or medical condition you may require, Glion aims to create an environment which enables all students to participate fully to the campus life. To help us make reasonable adjustments, it is imperative to clearly indicate your special needs (ie. dyslexia) or medical condition. Please note that consideration of how we can meet any special needs is separate to the assessment of your academic suitability.

How would you describe your general health condition?   Excellent   Very good   Good   Poor

In keeping with the Institute?s policies regarding preventive health measures, the School Director may request a student to undergo a medical checkup at any time during his/her studies at Les Roches.

I hereby certify that the above information is correct and that I agree to undergo a medical checkup if required. Deliberate false statements ma Les Roches will not be held responsible in case of incorrect medical information stipulated on the Medical Certificate and Physician?s Report.

Signature of the applicant
Soifa Ivanova
  Date
01/02/09
Signature of the parent or legal guardian
Vladimir Ivanov
  Date
01/02/09