APPLICATION FORM

HOW TO APPLY
1. Send the following completed Application Form by e-mail or fax. 
2. CEC will send you and your agent (if you have one) invoices. 
3. Once you receive invoice, remit registration fees. 
4. Letter of Acceptance and receipt for your registration fees will be sent to you. You will also receive confirmation of your HomeStay if you have requested HomeStay.Confirmation can be completed within 24 hours if a fax or e-mail number is provided.
5. If you wish to study in Canada for more than 6 months, you will need to take your Letter of Acceptance, a valid passport, and proof of sufficient funds for your stay in Canada to the Canadian Embassy or Consulate for a Visa and/or Student Authorization.
6. Once you receive your visa, or one month before class you are required to pay your fees.

Canada Immigration website at  http://www.cic.gc.ca/english/visit/index.html


Please fill in the boxes below. The questions in red are required fields.

PERSONAL INFORMATION

E-mail address:  
Family name: 
Given name: 
HOME COUNTRY ADDRESS

Street:        

City, Prov/state:
Country:
Postal Code: 
Tel Number: 
Fax Number:
Date of Birth:    
Are you: Male   
Single 		Female
Married
How did you learn about the Canada English Center? 

PROGRAM INFORMATION
Program chosen:
When do you want to begin your studies?

Start Date: ,    

End Date:  ,
#of weeks:
English Level:     

ARRIVAL INFORMATION
Please provide arrival information even if you do not require airport reception or drop off.
Airport Reception:   Yes No Airport Drop Off:  Yes No
Date: , Date: ,  
Time:                               Time:
Airline & Flight #: Airline & Flight #:

HOMESTAY
Yes No:                Number of nights:       

From: ,            to: ,  

Preferred Host Family Characteristics:
Children   Yes No
Smoking   Yes No
Pets          Yes No
Do you have any health problems or allergies? 

Interests and Hobbies:
Message for Host Family:
Emergency Contact:
Name:
Relationship
Telephone:
Fax:
Fee Calculator

Method of Payment    

Please read the refund policy before making payment.
Comments: