* Required Fields
About You
* Gender:
Male Female
* First Name:
* Last Name:
* Date of Birth:
mm
dd
yyyy
* Home Address 1:
Home Address 2:
* City:
* Province/State:
* Country of Residence:
Select a country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma/Myanmar
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican)
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia, The Former Yugoslav Rep. of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Moldova
Mozambique
Myanmar/Burma
Namibia
Nauru
Nepal
Netherlands
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts & Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arad Emirates
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
* Postal Code:
* Telephone:
(include country & area code)
Fax:
(include country & area code)
* Email:
* Country of Nationality:
Select a country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma/Myanmar
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican)
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia, The Former Yugoslav Rep. of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Moldova
Mozambique
Myanmar/Burma
Namibia
Nauru
Nepal
Netherlands
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts & Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arad Emirates
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
* First Language:
Other Languages Spoken:
Emergency Contact Information
* First Name:
* Last Name:
* Telephone:
(include country & area code)
Program Selection
Each course is 2 hours per day (10 hours per week). You may choose up to 3 courses to study at a time. So if you choose 3 courses it will be 6 hours per day (30 hours per week) of classes. Please see the fee schedule for costs.
* English Program:
* Number of Weeks:
Select weeks
4 weeks
6 weeks
8 weeks
10 weeks
12 weeks
14 weeks
16 weeks
18 weeks
20 weeks
22 weeks
24 weeks
* Start Date (preferred):
mm
dd
yyyy
* Level of English:
Beginner
Intermediate
Advanced
Medical Insurance
Medical insurance is required during the time you are in Canada. ICLS can obtain the insurance for you at a cost of $1.80 per day.
* Medical Insurance Required:
Yes
No
Number of Days:
Airport Transportation
* Airport Pickup Required
(fee $90):
Yes
No
If yes, please provide the following information:
Date of Arrival:
mm
dd
yyyy
Arrival Time:
am
pm
Airline:
Flight Number:
Special Instructions (if required):
Accommodation (HomeStay) While Studying in Canada
* Choice of Accommodation:
Select accommodation option
Not required
Homestay - breakfast, lunch and dinner
Homestay - breakfast and dinner
Apartment accommodation
Please note:
Apartment accommodation is charged on a monthly basis.
The apartment accommodation must be reserved for a minimum of
3 months.
You must share the apartment with another student. If this is not possible, you may be asked to choose the homestay option instead.
Included in the cost of the apartment is a one-time cleaning fee for $75 and a one-time placement fee for $160. The rate being charged is $850 per month. This rate is inclusive of all apartment amenities.
Accommodation Start Date:
mm
dd
yyyy
Number of Weeks:
Will you accept a homestay if the family has a pet (dog or cat)?:
Yes
No
Will you accept a homestay if the family has children?:
Yes
No
Do you smoke?:
Yes
No
Do you have allergies or health problems ICLS should know about?
Yes
No
If yes, please specify:
Fees Calculation
Program Fees:
XXXXX.XX
Non Refundable Registration Fee:
+
XXXXX.XX
Medical Insurance:
+
XXXXX.XX
Airport Transportation:
+
XXXXX.XX
Accommodation Deposit Fees:
+
XXXXX.XX
Accommodation (remaining weeks):
+
XXXXX.XX
Total:
=
XXXXX.XX
Minimum Deposit Required with Registration:(deposit includes first four weeks of accommodation, if applicable)
=
XXXXX.XX
Remainder of Payment Due Before or on Start Date:
=
XXXXX.XX
For more information see our Fee Schedule .
Payment Options
* Method of Payment:
Select a payment option
Credit card/PayPal
World Money Order
International Bank Draft
Certified Cheque
Wire Transfer