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Part 1: Please tell us what you are registering for:

학생 지원서

학생
선생님
홈스테이

Part 1: 등록하고자 하는 분야를 선택해 주십시오.

ESL in Canada 프로그램 지원서  

ESL in Canada 교육상담요청

Part 2: 기본 정보를 적어 주십시오:

성함

생년월일

(월,일,년)

전화번호

팩스

주소

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Email 주소

건강보험정보

다른 건강보험이 있으십니까?

국적

유효 Visa가 있습니까?

캐나다에 있을 예정기간

개월

캐나다에서 시작 날짜

(월,일,년)

캐나다에서 끝날 날짜

(월,일,년)

덧붙이는 말

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