Student Information and Registration Form for Canada Schools


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English Student Information and Registration Form

English Student Information and Pre-Registration Form

Please select one category to describe your student status.
Elementary Student High School Student College Student University Student Adult

Part 1: Please check the Country you wish to travel to:

Canada USA England Australia New Zealand

Part 2: Please check the type of schools that you are registering for:

University Graduate Programs University Undergraduate Programs Community College Programs Private Colleges Public High School Programs Private High Schools Public Elementary Programs Private Elementary Schools Private English Language Schools Private Language Teachers Internship Programs Canada Homestay Tutoring

Part 3: Please check the English study programs you are requesting information for:

TOEFL English Test Preparation Classes TOEIC English Test Preparation Classes
IELTS English Test Preparation Classes Cambridge English Test Preparation Classes

Canada English Summer Camps for Kids ages 8 to 18

Canada Group Programs for Business English
Advanced Business English for Executives and Managers
Intermediate Business English for Executives and Managers
Business English for Career Training
Business English for Internships and Cooperative Education Programs

Beginner English Listening Pronunciation Writing Grammar Vocabulary Reading Accent Reduction
Intermediate English Listening Pronunciation Writing Grammar Vocabulary Reading Accent Reduction
Advanced English Listening Pronunciation Writing Grammar Vocabulary Reading Accent Reduction

Beginner English Conversation Class Intermediate English Conversation Class Advanced English Conversation Class

Online English Writing Lessons Phone English Conversation Lessons

Part 4: Please check other items your require:

Student Visa Work Visa Homestay Education Consulting

Part 5: Please provide student contact and status information:

-Full name

-Date of Birth

(mm,dd,yy)

-Telephone

-Fax

-Full residence address

-Full Postal address

-Emergency Contact numbers

-Email Address

-Health Insurance Information

-Any medical conditions?

-Country of Citizenship

-Visa Required

-Months in Canada

Months

-Start date in Canada:

(mm,dd,yy)

-Finish date in Canada:

(mm,dd,yy)

-Any Additional Information:

 

Forms Programming by Jung Min Hwa for ESL in Canada

ESL in Canada Directory Logo and link to www.eslincanada.com