Connect Business Language College

Connect Business English College
info@connectlanguage.com
890 Yonge St. 4 th Floor
Toronto, Ontario
M4W 3P4 Canada
Tel: 416-850-8602
Fax: 416-850-8601
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Online Application Form

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

Connect Business English College
890 Yonge St. 4 th Floor
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 Business English (Business Integrated Skills + Business Conversation) 20 hours per week
General Business English Plus (Business Integrated Skills + Business Conversation + Elective) 30 hours per week.
English for Work (Business Conversation + Business Writing) 20 hours per week
English for Work Plus (Business Conversation + Business Writing + Elective) 30 hours per week
Business English Diploma (20 hours per week)
TESL Diploma (20 hours per week)
Teaching English to Children Diploma (20 hours per week)
Electives
Business Integrated Skills: 10 hours per week
Business Conversation: 10 hours per week
Business Writing: 10 hours per week
Telephone Skills: 10 hours per week
Business Presentations: 10 hours per week
Executive English Program
Executive English :	Full Package 30 hours per week
Executive English :	Full Package 20 hours per week
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.