Study Tour Analysis Form

Personal Information

First Name: *

Last Name: *

Refering Agency Information

Agency Name: *

Contact Person: *

Email: *

Phone Number:

Fax Number:

Course Information

Which GEOS location are you interested in? *

When do you wish to start the study tour? *

How many weeks would you like to study? *

No. of Students Attending:

No. of Group Leaders attending

Age Group:

Tours and Activities

Short Afternoon Activities/Tours:

If yes:

Full day Activities/Tours:

If yes:

Two days/Overnight Tours:

Welcome Party Required?

Farewell Party?

Accomodation Information

Accomodation Required?

If yes:

Homestay Only, please complete below

Students per room:

Students per household/family:

Meals:

Additional Information

Airport Transfers Required?

If yes:

Transport Tickets to School?

Please State your budget for this study tour:

Comments... / Questions?

Study Tour Analysis

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