Required fields
 1. Student Identification
a) Personal Information
First Name
Family Name
Date of Birth
Day Month Year
Gender
Male
Female
Nationality
Occupation
b) Home Address
Street Address
City
Province / State
Country Postal Code / ZIP
Telephone Fax
e-Mail
c) Person to contact in case of emergency
First Name
Family Name
Street Address
City
Province / State
Country Postal Code / ZIP
Telephone Fax
e-Mail
d) I first heard about LI (TORONTO) through

Study Abroad Agent
      Agency name

Study Guide
CEC / Embassy Internet
Friends / Family Past student
Yellow Pages Other
 2. Program Selection
a) Level & Dates
My level of English is now
I would like my tuition
to begin on the (date)
Day Month Year
I will be studying English at
LI (Toronto) for (# Weeks)
b) Program Selection - Check required program
ESL Courses Core ESL (20 hours/week)
Semi-Intensive ESL (25 hours/week)
Intensive ESL (30 hours/ week)
TESL Certificate Course (8 weeks)
Private Lessons 10 hours 20 hours 30 hours More
English
Other language
Cambridge FCE 8 Weeks
12 Weeks
Student Co-op
      / Internship		 4 weeks ESL + 4 weeks placement = 8 Weeks Total
6 weeks ESL + 6 weeks placement = 12 Weeks Total
8 weeks ESL + 8 weeks placement = 16 Weeks Total
Business English Option A -  30 hours
Option B -  40 hours
Option C -  30 hours private lessons
Youth Summer       Packages 2-week option
3-week option
4-week option
 3. Accommodation
a) Do you want LI (TORONTO) to arrange accommodation for you?
    (if not, answer no below and go directly to section 4)
Yes   No
a) What kind of Accommodation do you require?
Homestay without meals (no meals)
Half-Board homestay (2 meals a day)
Full-Board homestay (2 meals a day + packed lunch)

Summer residence

Full-board summer residence
Year-round residence
b) Accommodation period
Arrival Date Departure Date
Day Month Year
Day Month Year
c) Accommodation Preferences - I prefer an accommodation with
Children No Children Older Children No preference
Students from other countries No other students No preference
Smoking available No smoking
parking required No parking required
Pets No pets No preference
Do you have any allergies, medical problems or dietary requirements?
Special interests, requests and skills
 4. Insurance / Airport pick-up
a) Do you require medical insurance coverage?

Yes, I require a medical insurance coverage during my stay - 2$CDN / Day

Insurance provided by StudentGuard
b) Do you require to be picked up at the airport upon arrival?

Yes, I require airport pick-up service for (complete below):

a) What kind of airport pick-up do you require?
One way (arrival only) - $100 CDN
Both ways (arrival and departure) - $150 CDN
b) Flight details
Airline
Flight Number
Arrival Date
Day Month Year
Arrival Time
 
 5. Payment
a) Fees
1) Registration fee
$
2) Material fee
$
3) Tuition fee (total)
$
4) Placement fee (one time)
$
5) Accommodation
$

6) Health Insurance

$
7) Airport pick-up
$
8) TOTAL
$
9) DEPOSIT
  • registration fee
  • 4 weeks course fees
  • placement fee (if accommodation is required)
  • 4 weeks accommodation fees
    (if accommodation is required)
  • materials fee

Note: Deposit payment is necessary in order to enrol at LI and to receive an official letter of acceptance from LI. Students of 4 weeks or less  must pay in full.

 $
10) BALANCE DUE
$
b) Payment Details
Please indicate
your payment method 		Credit Card (Credit card authorization form)
Money Order
Bank Draft
Bank Wire Transfer*
Amount paid $
Date of payment
Day Month Year

* Please contact LI for wire transfer and banking information.

Important: Please fax or mail a copy of your bank wire transfer receipt or of
your credit card authorization form to complete your registration.
 6. Submit your Registration

I have read and understood LI's Refund Policy and agree
to abide by the rules and policies of the school in good faith.