Adult English and French Application Form

Personal and Contact Information

Gender: Male Female

Given Name: 

Family Name:

Date of Birth:

Home Address:  

City:

Country:

Telephone:  

Fax:

Email:

Emergency Contact Name:  

Emergency Contact Phone:

Choose Your Program

Which City would you like to study in?

Toronto  Vancouver  Montreal  

Which Language would you like to study? 

French  English French and English

When would you like to begin your course? April 19, 2004 May 17, 2004 June 14, 2004 July 12, 2004 August 9, 2004 September 7, 2004 October 4, 2004 November 1, 2004 November 29, 2004 December 29, 2004 2005

How many weeks would you like to study?

How many hours would you like to study? 

Intensive (6 hours per day)  

Standard (4.5 hours per day)  

Part Time (3 hours/day)  

Please check all below that you are interested in:

Academic Preparation 

Computer Education                    

Business                                     

Performing Visual Arts      

Communication                                 

Liberal Arts     

Test Preparation (TOEFL, TOEIC, Cambridge)                                         

Skills (grammar, listening, pronunciation, vocabulary)

Homestay Application

Do you smoke?  Yes  No

Do you have allergies? If yes, please explain

Do you have a medical condition we should be aware of? If yes, please explain

Do you take daily medication? If yes, please specify a name

Are you comfortable with children in the home? Yes  No

Are you comfortable with other students in the home? Yes  No

Are you comfortable with pets in the home? Yes No

What languages do you speak?

What are your interests?

Do you have medical insurance? If yes, please specify the company name

Would you like airport pick-up? Yes  No

For Montreal Students Only

What kind of a homestay family would you like?

English Speaking  French Speaking  Bilingual

GATE English Summer Camp Application Form

Personal and Contact Information

Gender: Male Female

Given Name: 

Family Name:

Date of Birth:

Home Address:  

City:

Country:

Telephone:  

Fax:

Email:

Emergency Contact Name:  

Emergency Contact Phone:

Program Information

Please select the date you would like to begin your course: June 28th July 5th July 12th July 19th July 26th August 2nd

How many weeks would you like to study? 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks

What is your current level of English? low beginner high beginner low intermediate high intermediate low advanced high advanced

Homestay Information

Do you smoke?  Yes  No

Do you have allergies? If yes, please explain

Do you have a medical condition we should be aware of? If yes, please explain

Do you take daily medication? If yes, please specify a name

Are you comfortable with children in the home? Yes  No

Are you comfortable with other students in the home? Yes  No

Are you comfortable with pets in the home? Yes No

What languages do you speak?

What are your interests?

Do you have medical insurance? If yes, please specify the company name