to the form - Alliance Française Melbourne

VCE FRENCH IMMERSION CAMP
24-26 october 2014
Practice your French for two days in a great location before
the VCE!
Each year in March, the Alliance Française de Melbourne
organises a French immersion weekend for Year 11 and Year
12 students. Since 2013, Year 10 students have also be given
the chance, like their Year 11 and year 12 elders, to practice
their French at the beautiful Portsea Camp.
During the two days of this French immersion weekend,
students will gain confidence in their ability to speak French
while practicing through playful activities, such as outdoor
activities or creative workshops.
Food and accommodation are provided, as well as workshops,
leisure activities and entertainment.
Don’t miss this opportunity to practice your French and share
a great weekend in the country!
Transportation
Transport is provided by coach to and from the Alliance
Française de Melbourne (St Kilda).
Departure time: 4.30pm on Friday 24 October 2014 at 51 Grey
Street St Kilda. Please ensure that you arrive at the Alliance
by 4.00pm on the day of departure.
Return time: Approximately 4pm on Sunday 26 October 2014.
Registration fee
$395 - all inclusive
Application and payment must be received in full by
10 October 2014.
(Note: government school students may be eligible for a
$300 subsidy from the Department of Education and Early
Childhood Development. Contact Aurélie Pierre for more
information: [email protected])
Conditions
There will be no refund if cancelling after 10 October, 5.00pm.
Applications for a refund must be made in writing and
supported by evidence to the Alliance Francaise Courses
Manager: Aurélie Pierre at headeducation@afmelbourne.
com.au prior to 10 October, 5.00pm.
If a student is entitled to a refund, please note that a 20%
administration fee will apply.
Contact
For more information, please contact Marion Nouvel
at [email protected] or visit our
website: www.afmelbourne.com.au.
ASSESSMENT TEST (compulsory)
Did you start learning French in Year 7?
 Yes  No - If no, when did you start learning French?___
Have you ever been on an exchange program to a Frenchspeaking country?
 Yes  No - If yes, where and for how long? _______
Please complete this test - without any assistance
Tick the right answer (If you are unsure, please leave blank)
1. Nous  habitent en  habitons à
 habitez dans ...Melbourne.
2. Hier, nous  avons allé
 vont
 sommes allés
3. Tu veux
 du
 de l’
 de la
...à la plage.
...eau ?
4. Avant mon accident,  je faisais
 j’ai fait
 je fais
…beaucoup de vélo.
5. M. et Mme Durand partent en vacances avec
 ses
 leurs
 leur
…enfants.
6. Tu
 finis
 finiras
 finira
…cet exercice plus tard.
7. Il court
 autant
 aussi
 si …vite que son frère.
8. Est-ce que tu as envoyé cette lettre à Annie ? Oui, je  lui en
 la lui  lui la …ai envoyée.
9. Nous  parlions
 avons parlé
 parlons
…avec Paul quand Sarah est arrivée.
10. Ils sont mariés
 pendant
 depuis
 pour
…un an.
11. Si nous avions de l’argent, nous
 pourrions
 pouvions
 pourrons …partir en vacances.
12. Il faut que vous
faire.
 saviez
 savez
 sachiez
…ce que vous voulez
13. Qu’est-ce que tu aimes faire le week-end ?
_________________________________________________
_________________________________________________
_________________________________________________
14. Qu’est-ce que tu as fait hier soir ?
_________________________________________________
_________________________________________________
_________________________________________________
15. Qu’est-ce que tu ferais si tu gagnais tout à coup
beaucoup d’argent ?
_________________________________________________
_________________________________________________
_________________________________________________
16. Pourquoi veux-tu participer au week-end d’immersion
en français? Qu’est-ce que tu souhaites y faire ?
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
parental PERMISSION FORM
Student’s Parent/Guardian Details
Name: __________________________________________
Address: ________________________________________
Suburb: ___________________ Postcode:_____________
Tel: (H)__________________(W)_____________________
Mob: ________________Email: ______________________
I, ___________________________, (parent/guardian) have
read the information provided by the Alliance Française
de Melbourne and give permission for my child _______
_______________________(student’s name) to take part
in the Year 10 French immersion weekend at Portsea Camp
from Friday 24 to Sunday 26 October 2014 as well as to participate in a scavenger hunt in Portsea and its surroundings
under supervision of the Alliance Francaise staff on Sunday
26 October 2014.
Consent to medical attention
I, ___________________________, authorise the staff in
charge of the program to consent,
where it is impossible to communicate with me, to my
child ____________________________(student’s name)
receiving such medical or surgical treatment as may be
deemed necessary.
In case of emergency (please give details of a person
other than above)
Name: __________________________________________
Address: ________________________________________
Suburb: ___________________ Postcode:_____________
Tel: (H)__________________(W)_____________________
Mob: ________________Email: ______________________
Parent/guardian signature: _____________________
Basic Immersion Camp Rules
Courteous behavior is required throughout the day. Lunch
and diner tables are to be set and cleared by students.
Smoking or drinking will not be permitted.
I________________(student’s name) have read and understood the above rules and agree to abide by them.
Student’s signature_________________________________
year 10
Dietary requirements
 Vegetarian  Dairy free
 Gluten free
Other (please specify): ____________________________
BOOKING FORM
Student’s details
Surname: ________________________________________
Given Name: _____________________________________
 Female   Male
Date of birth: ____________________________________
Address: ________________________________________
Suburb: ___________________ Postcode:_____________
Tel: (H)_____________________ _____________________
Mob: ________________Email: ______________________
Name of School: __________________________________
Name of Teacher: _________________________________
Teacher’s email: __________________________________
Payment
Please find attached my payment details:
Visa Mastercard Bankcard
N°______________________________________________
French
immersion
camp
fri
sun
24 Oct
26
Oct
to
Expiry date: _______ / _______
Name of cardholder: ______________________________
Date: __________ Signature: _______________________
Amount: $ _______________
At
Portsea
Camp
Get ready for your exams
The earlier, the better!
All payments must be received by 10 October 2014, 5pm.
Bookings without payment will not be accepted.
School cheque only for group bookings.
There will be no refund for cancellations made after 5pm,
10 October 2014.
Please mail this form to:
Alliance Française de Melbourne
PO Box 2042, St Kilda West VIC 3182
or fill the form and e-mail it to Marion Nouvel
at: [email protected]
$395 All inclusive package
Booking essential
AllianceFrançaise
de Melbourne
We teach French
☎ 9525 3463 or online at
www.afmelbourne.com.au
French Language & Cultural Centre since 1890
Not-for-profit Australian association