LSC LANGUAGE STUDIES CANADA

FIRST IN CANADA. FIRST FOR YOU. SINCE 1962

PERSONAL INFORMATION Family Name (s) First Name (s) Nationality Home Address City Telephone Country Fax Native Language

ENROLMENT FORM
Please complete this form and send it with payment for the LSC centre of your choice. Entrance Requirement: Minimum age 18 for all programs except Teen Language Adventure.

Date of Birth

MONTH

DAY Male

YEAR Female

LSC IS PART OF THE EC GROUP

E-mail Emergency Contact Emergency Telephone WHERE DO YOU WANT TO STUDY? LSC Montral English or MONTH MONTH French DAY DAY LSC Toronto LSC Vancouver YEAR-ROUND YEAR YEAR Emergency Email CHOOSE YOUR LSC COURSE (S) 20 Lessons 25 Lessons 30 Lessons Plus Lessons Summer Afternoon Program (Toronto) University Skills Preparation (Toronto, Vancouver) Diploma of Business English International Business English BUSINESS International Business French Co-Op Paid Guaranteed Placement Co-Op Paid Self-Placement Co-Op Unpaid Placement Cambridge FCE Exam Preparation EXAM PREPARATION Cambridge CAE Exam Preparation Cambridge CPE Exam Preparation IELTS Higher Score TOEFL Higher Score TOEIC Higher Score SPECIALTY NUMBER OF weeks Home Country Canada

Start Date End Date Number of weeks

Indicate your level in the language selected: Beginner Intermediate Advanced

For HOMESTAY, please answer the following questions Do you smoke? Can you live with small children? Yes Yes Yes Yes No No No No

WHERE DO YOU WANT TO LIVE? Homestay Accommodation Start Accommodation End Residence M M / / D D / / Y Y

Can you live with pets? Can you live with smokers?
Please indicate any special dietary needs or medical concerns:

Accommodation Not Required Airport Reception

Note: If a deposit is being sent to LSC, the deposit must be equal to the minimum of fees for all services during the rst 4 weeks. Balance of fees are due no later than rst day of school before commencement of studies.

COURSE FEES Registration Fee Tuition Fee for Textbook Charges PAYMENT DETAILS (CDN $) Co-Op Program for NUMBER OF weeks
SUB TOTAL COURSE FEES

$ FEE

+ + +
$

English & Golf (Vancouver) One-to-One Instruction TEFL (Toronto) Ranch Stay Montreal Teen Language Adventure YOUNG LEARNERS Homestay Residence Day Single Double $ FEE

ACCOMMODATION FEES Placement Fee Accommodation for Airport Reception

SUB TOTAL ACCOMMODATION FEES

NUMBER OF

weeks

+ + + +
$

Toronto Teen Language Adventure Homestay Residence Ad Fair Magazine

DE TAILS

Day Single Agency Friend Other Double Embassy Internet

COURSE + ACCOMMODATION TOTAL TO LSC

CDN $

I have read and accept LSC Language Studies Canada Conditions of Enrolment and Refund Policy.
M
Student Signature Date

HOW DID YOU HEAR ABOUT LSC?