Quality First

We treat each student as an individual at Eurocentres, taking care of your individual needs through feedback, advice, self-study plans and one-on-one counseling. As each student has different needs, our staff recognize the importance of taking the time to help each one meet their goals and achieve the level of satisfaction that our Quality Standards demands.

Discover Your Unique Pathway to Success

Optimum personalized support within a wide range of quality short and long-term specialized programs is Eurocentres Canada's seal of distinction. Whether your goal is to improve your English proficiency for travel, business, or academic purposes, our general English, career, and seasonal programs for adults, youth and groups offer inspiring opportunities for everyone.

The Eurocentres Canada team is committed to the success of all of our students and we will go that extra mile to ensure your needs are met both inside and outside of the classroom. Year after year our graduates continue to give our schools the highest ratings and we invite you to share this valuable experience.

Study in Vancouver or Toronto at Eurocentres Canada and discover your own unique pathway to success.

Nationality Mix

Eurocentres Canada has students from more than 40 countries visit our schools to provide one of the best nationality mixes in the country! See our Nationality Mix.

Testimonials

It is very good. Every staff and teachers are friendly and helpful. I could speak English much more in Eurocentres classes than them in Japan. I was happy that the atmosphere in my class was very good. My host family was very good. They were friendly and kind enough to make me feel comfortable. There are many interesting school activities in Eurocentres, so I think it is good for students to communicate with other students.

Yumi Sekizawa, Japan

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Congratulations, the school is very good with an amazing staff always prepared to help with any problems. You have very good teachers, always providing clear and easy explanations. The social activities have a large number of options and I participated on some of them and enjoyed each moment. My host family was amazing, that are very good people, very friendly and helps me a lot.

Eduardo Ruela, Brazil

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Legal First Name:

Middle Name(s):

Family Name:

Preferred Given Name:

E-mail Address:

Gender:

Male Female

Status (Optional):

Single Married

Nationality:

Native Language:

Occupation:

Date of Birth:

Stay in Canada:

from to

*Visa:

Study Visitor Immigrant
Other

*Medical Insurance:

Overseas Provincial
Student Guard #

*ID:

Passport#
SIN#
Other#

*Please submit copies of these documents upon arrival

Education:

High School:

Year Graduated:

Country:

College/University:
(Business or Academic)

Total Years Studied

Major & Degree:

ESL Training in Canada

Length

Other

Length

Country:

Present Address:

Street:

City:

Province/State:

Country:

Postal Code:

Tel:

Fax:

Emergency Contact Person:

Mr. Ms.

Name:

Relationship:

Contact Person's Address:

Street:

City:

Province/State:

Country:

Postal Code:

Tel:

Fax:

Permanent Address:
(where your family is living)

Street:

City:

Province/State:

Country:

Postal Code:

Tel:

Fax:

State of Health:

Very Good Good Fair Poor

Illnesses?

No Yes:

Allergies?

No Yes:

Medication?

No Yes:

Food Exemptions?

No Yes:

Have you been abroad?

No Yes

What are your purposes for coming to Canada?

What are your favorite sports?

How do you spend your free time?

How and where did you hear about Eurocentres Canada?

English Assessment:
Self Assessment

Advanced
Intermediate: High Low
Beginner: High Low

TOEFL

Score: Date:
Enclosed? No Yes

Other

Name of Test:
Result: Date:
Enclosed? No Yes

English level will be assessed after your arrival. You may apply for extra English Courses in addition to Holiday and Career Programs.

CONTACT INFORMATION


Eurocentres Vancouver #250-815 West Hastings Street Vancouver, British Columbia V6C 1B4 Tel: (604) 688-7942 Fax: (604) 688-7985 E-mail: info@languagecanada.com www.languagecanada.com	Eurocentres Toronto 11 Charlotte Street Toronto, Ontario M5V 2H5 Tel: (416) 542-1626 Fax: (416) 542-9485 E-mail: info@languagecanada.com www.languagecanada.com

PROGRAM CHOICE AND OTHER INFORMATION

Regular ESL Programs:
(Applicants must be 16 years or older)


Super-Intensive Course (30 lessons per week)	Length: (weeks) Start Date: Location: Vancouver Toronto

Intensive Course (25 lessons per week)	Length: (weeks) Start Date: Location: Vancouver Toronto

Basic Course (20 lessons per week)	Length: (weeks) Start Date: Location: Vancouver Toronto

Seasonal, Holiday & Youth Programs:

Career Programs

(Applicants must be high school graduates and demonstrate a high intermediate English level)


ESL plus professional Training	Vancouver Toronto
ESL plus work experience/Internship	Vancouver Toronto
(Please check the start dates carefully)
Length	(weeks)
Start Date

Other Programs

Program Name

Length (weeks)

Start Date

Airport Reception:

Yes
No - How will you travel to the Host Family?
      Bus
      Taxi
      Other

Student Guard Medical Insurance:

Yes
No - (If no, please provide a copy of your insurance on the first day of school.)

Accommodations:

Homestay:

Yes
- Full Board;
- Half-board

Residence:

Yes (no meals)

Arrival

Departure

No Accommodations - please include your Vancouver or Toronto Address

Do you smoke?

Yes No

Do you want to live with smokers?

Yes No

Do you like pets?

Yes No

Do you want to live with pets?

Yes No

Do you like children?

Yes No

Do you want to live with children?

Yes No

(Eurocentres Canada cannot guarantee any of these requests)

Arrival Information:
By:

      Air
      Car
      Bus
      Train

Arrival Date:

Arrival Time:

am / pm

Airline (Bus/Train):

Flight (Bus/Train) No.:

Depart from:

CONSENT AND ACKNOWLEDGMENT

I hereby register for this program declaring, to the best of my knowledge, that all information on this application form is correct. I will notify the appropriate Eurocentres Canada immediately in the event of any changes to any of this information. I have read and agree to abide by the Eurocentres Canada Dispute Resolution, Dismissal and Refund Policies which apply to my program(s) in addition to all other Eurocentres Canada and Homestay regulations (available upon request). I also understand that in the event I am registering through a representative or an educational agency, they may receive compensation from Eurocentres Canada. I understand that Eurocentres Canada assume no responsibility for any representations, warranties, or agreements made on their behalf which are not solely contained in printed material produced by Eurocentres Canada.

I give Eurocentres Canada permission to release any information regarding my program to my educational agent and/or family member.

Yes No

I give Citizenship and Immigration Canada permission to release to Eurocentres Canada any information regarding the status of my Visitor Visa and/or Study Permit.

Yes No
(By checking No, Eurocentres Canada will not be able to request Visa information on the students behalf.)

I accept the terms of consent and acknowledgement.

PARENT / LEGAL GUARDIAN CONSENT

This section must be completed by the parent or legal guardian of any student under 18 years of age.

The participant agrees to participate in the entire program and will follow safety instructions and all Eurocentres Canada and Eurocentres Canada Host Family Rules and Regulations. The participant or legal guardian thereof also authorizes Eurocentres Canada and/or Canada Language Camps and/or the Host Family to attain medical treatment for the participant in the event it is required and agrees to the decisions and instructions given. It is understood that school staff and the Host Family are not responsible for any medical instructions, decisions and expenses.

Parent / Guardian:

Mr. Ms.

Name:

Relationship:

Speak English:

No Yes

Street:

City:

Province/State:

Country:

Postal Code:

Tel:

Fax:

I accept the terms of consent and acknowledgement.