Personal Information

Given Name: *

Family Name: *

Date of birth: *

Gender:
MaleFemale

Nationality:

Native Language:

Current Occupation

Contact Information

Your Email: *

Phone:

Mobile:

Education Background

Highest Level of Education:
---Elementary SchoolSecondary SchoolHigh School DiplomaCollege DiplomaUniversity DiplomaPost Graduate DegreeOther

Have you completed an English Course?:
---YesNo

When?:

Where?:

Course Duration? (Number of months):

Level Completed?:
---BeginnerIntermediateAdvanced

Your current level of English is?:
---BeginnerIntermediateAdvanced

Course Information

Which language would you like to learn?: *
---EnglishFrenchOther

Which program(s) are you interested in?: *
 Immersion 15  Immersion 20  Immersion 25  Immersion 30  IELTS Preparation  TOEFL Preparation  FCE (First Certificate in English) Preparation Winter Study Tours  Summer Study Tours Spring Study Tours Fall Study Tours  Semi-Private lessons  Customized programs Distance and Virtual Training

On which Monday would you like to start?: *

How many weeks would you like to study?: *

Terms and Conditions

TERMS AND CONDITIONS General Procedures -- There are no classes on session start dates or on Canadian holidays. -- A student is expected to attend all classes, participate in class and complete all assignments. This will ensure that the student will proceed to the next level of instruction. -- A student is expected to speak English while on school premises. -- A student is required to have Medical Insurance and provide proof. If this is not the case an insurance policy must be purchased on the first day of class. -- Proper travel documents and visas are the student's responsibility. -- All payments must be made in full before the program begins. -- Payments may be made by visa, money transfer, bank draft, or traveler's cheques. -- Refund Procedures prior to students arriving in Canada -- A written notice of cancellation or withdrawal is required notifying Estrie of the circumstances for the cancellation or withdrawal. -- The registration fee and the placement fee are non refundable at all times. -- A student who is denied authorization to study in Canada by the Canadian Embassy or Consulate will receive a refund for the course. A copy of the letter of refusal from Canada must be submitted, before refund is issued. -- Under no circumstances are any refunds given after a student visa or tourist visa is obtained, or after students have arrived in Canada and commence their studies at ----- Estrie International Language School. -- Four week written notice is required for Homestay Accommodation refund or withdrawal. -- Refunds are only made to the person or Agent who made the payment to Estrie.

I have read and agree to the Estrie Refund Policy : *
 Yes

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