Learn English in Canada!

Student Application Form

Familly Name:* First Name:*
Home Address:* 
City:*  Prov/State:*
Country:* Postal Code: 
Home Phone:* Mobile Phone: 
e-mail:* Nationality:* 
Gender:  Date of Birth:* 
Language(s) spoken:  Occupation: 

What is your level of English?

Advanced

Intermediate

Beginner

Speaking

Listening

Reading

Grammar

When do you want to start school?

You may start school on any Monday, if there is space in a class.

Start:*     Study Period*

Which English Program do you want?*
Intensive English Program (30 hrs per week)
Standard English Program (22.5 hrs per week)
Summer Teen Program (12-17 yrs, June, July, August)

What type of English Classes do you want?
General English language courses
TOEFL Exam Preparation
TOEIC Exam Preparation
TESOL Diploma Program
Business English International Program
College Preparation Course
English for Health Care Professionals
English for Travel & Tourism
Other:

Do you want to reserve your accommodation ? Yes No

Type of accommodation preferred:* 



If you have any questions, please write them here:

    

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