connect school of languages-study ESL

Connect School of Languages
info@connectlanguage.com
890 Yonge Street
Toronto, Ontario
M4W 3P4 Canada
Tel: 416-850-8602
Fax: 416-850-8601
Click here to see large map

Online Application Form

Please fill out this online application form or you can download the form and mail or fax to:

Connect School of Languages
890 Yonge Street
Toronto, Ontario
M4W 3P4 Canada
Int + (416)850-8601

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Application Form

Connect Application Form

Mr Ms
First Name: *
Middle Name:
Last Name: *
Date of Birth:
Mailing Address: *
Email: *
Phone: *
Fax:
I would like to start: *
Number of weeks: *	weeks
Core Programs
General English (Integrated Skills + Conversation): 20 hours per week
General English Plus (Integrated Skills + Conversation +Elective: 30 hours per week
Intensive Conversation (Speaking Clearly + Conversation): 20 hours per week
Intensive Conversation Plus (Speaking Clearly + Conversation +Elective):30 hours per week
Intensive TOEFL Preparation (TOEFL + Academic Preparation): 20 hours per week
Intensive TOEIC Preparation (Integrated Skills + TOEIC): 20 hours per week
Everyday English (Intensive Listening + English Idioms): 20 hours per week
Electives
Integrated Skills: 10 hours per week
Conversation: 10 hours per week
Intensive Listening: 10 hours per week
English Idioms: 10 hours per week
TOEFL Preparation: 10 hours per week
TOEIC Preparation: 10 hours per week
Speaking Clearly: 10 hours per week
Academic Preparation: 10 hours per week
Summer and Youth Programs (July and August only)
Connect Teen Program:	Full Package
	Lesson + Activity Only
Great Canadian Weekend option
Other Services
I would like to require:	Letter of Acceptance by courier
	Airport drop-off
	Medical Insurance
	Number of days required:
My visa in Canada is:	Student Visa Visitor Visa Working Holiday Visa
I will need airport pick-up:	yes no
if you need airport pick-up, please fill the following fields:	Airline/Flight # Time: Date:

Accommodation (if required)
Homestay Option A Homestay Option B Homestay Option C
Dormitory Youth Hostel Apartment (limited space)
I would like to start:
I would like to end:
If homestay is required, please answer the questions below:
Many Canadian families have pets. Can you live with:
cat:	yes no
dog:	yes no
Many Canadians are non-smokers. Are you a smoker?
	yes no
If yes, Are you willing to smoke outside?
	yes no
Personal Characteristics:
Are you	Energetic Outgoing Quiet Shy Like to spend time at home
What family type do you prefer?	Children Teenagers No Children No preference
What are your hobbies?
Do you have any allergies, special medication or health problems?
Do you have a special request for your homestay?
Emergency Contact Person:
name:
email:
phone:
Payment
Sending Registration Fee?	yes no
if yes, please fill the amount:	Amount:
Sending Full Payment?	yes no
if yes, please fill the amount:	Amount:
Please indicate that the funds are:	US$ CDN$
How are you making payment?	Bank Transfer Cheque Money Order First Day of Class Visa or Mastercard
Name of card holder:
Credit Card Number:
Expiry Date:
I have read and understood the Terms and Conditions.