Student Information and Registration Form for Canada Schools


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English Sample school

SAMPLE SCHOOL 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 English study programs you are requesting information for:

15 hours each week 20 hours each week 25 hours each week
English Writing English Grammar English Vocabulary English Conversation Accent Reduction

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

Advanced Business English Business English for Work Business English Internship

Part 2: Please check other items your require:

Student Visa Work Visa Homestay Airport Pick up Education Consulting

Part 3: 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

-Months in Canada

Months

-Start date in Canada:

(mm,dd,yy)

-Finish date in Canada:

(mm,dd,yy)

-Any Additional Information:

 

SAMPLE SCHOOL BANK INFO FOR FEE PAYMENTS:

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