CSLI Student Application Form | English language school in Vancouver, BC Canada

Please complete our registration form in English and provide as much information as you can. Thank you.

ABOUT YOURSELF - Personal and contact information


Where did you hear about CSLI? (Select One)
If you selected AGENT, please list company name and agent name:

If you selected friends/relatives OR former student, please list their names:

If you selected Other please list:

EMERGENCY CONTACTS - while you are in Canada

CSLI PROGRAM SELECTION


PROGRAM HOURS*			PROGRAM START DATE*
How many weeks do you want to study?

Do you require One-to-One tutoring?
If you requested tutoring:
How many hours per week?

Practicum experience?
If you select practicum experience:
How many weeks?

CSLI COURSE REGISTRATION (select your choices)
Practical/ Conversation English Pronunciation/ Listening TOEIC Exam Preparation
Business English/TOEIC Academic English TOEFL Exam Preparation
TESOL Diploma Power Vocabulary Cambridge Exam Preparation
Corporate Program Vancouver Golden English

ACCOMMODATIONS - for Vancouver, Canada


Make your selection
Please answer the following questions if you requested homestay...
Check-in DATE			Check-out DATE
Do you smoke?			Yes No
Can you live with smokers?			Yes No
Do you like cats or dogs?
Do you want to live with children?
Do you have play sports or have hobbies?
Are there are any foods that you cannot eat?
Do you have any allergies?			Yes No
Do you have diet restrictions?			Yes No
Do you have any medical conditions?			Yes No
If you answered yes to any of these questions concerning your health, please provide details?

AIRPORT TRANSFER and FLIGHT INFORMATION

Do you require airport pick-up when you arrive in Vancouver?

Yes No

Do you require airport drop-off when you leave Vancouver?

Yes No

Provide Flight Info if you have this info (Note: you can also let us know later. At least 2 weeks before arrival.)

Arrival
Departure

PAYMENT OPTION INFORMATION - how you want to pay



I want to make payment with:

Before you send this form to CSLI, please read and understand CSLI's Payment and Refund Policies, Homestay Policies and Disclaimer, click here read, and then check Yes.			Yes!

Add your Code, if applicable.

THANK YOU!