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Online Registration
Please fill out ALL fields with an * (asterisk) as they are mandatory to process your registration.

Personal Information
Falimy Name*   First Name*   Sex  MaleFemale
Birthday*(dd/mm/yyyy)   Nationality*   First language*
Home Address*
Telephone No*   Fax No*   E-mail*  
Emergency Contact(Name/Relationship)*   Emergency Tel*
Status in CanadaVistor    Student   Working Holiday Landed immigrant

Study Information
I would like to start
(mm/dd/yyyy) to (mm/dd/yyyy)
I would like to study :

IESL Intensive ESL (25H / WEEK)
SESL Semi-intensive ESL (20H / WEEK)
PESL Part-time ESL (15H / WEEK)
TEYC Teaching English to Young Children
TESOL Teaching English to Speakers of Other Language
BESINESS Communication Skills (FITT Certificate)
TIP Translation & Interpretation
CO-OP EWRW (48 WEEKS)
CO-OP CFEO (48 WEEKS)
TES TEYC + TESOL (12 WEEKS)
B. My English level is :
Advanced
Intermediate
Beginner

Have you ever taken a recognized English Proficiency exam before?
If Yes, your most recent score(s):
TOEFL TOEIC
CAMBRIDGE IELTS
Homestay Accommodation
A. I will start Homestay
I will start Homestay (mm/dd/yyyy) :
Start : End
B. I will need airport pick-up
Date : Arriving from
Airline and Flight No :
Arrival Time :
C. Personal Details :
1. Character ?
Qutgoing Shy Independent
Quiet Cheeful Serious Talkative
2. Are you vegetarian ? Yes No
3. Do you have allergies ? Yes No
If yes, please specify :
4. Do you have any health problems ?
Yes No
5. Would you prefer to live in a homestay that has :
Dog : Yes No
Cat : Yes No
Young Children Yes No
Teenagers Yes No
Another Student Yes No
6. Any other requests? Yes No
If yes, please specify :

All information given in this application is true and correct. I accept UCL's terms and conditions and the student policies of enrolment. I have read and understood the refund policy.


 
 




                         987 Granville Street,Vancouver, BC, Canada V6Z 1L3TEL : 604-692-0575FAX : 604-692-0576E-MAIL : INFO@UCLCANADA.COM, OFFICE@UCLCANADA.COM