Application – Business Program Applicant Information First Name: Last Name: Gender: ---MaleFemale Date of Birth: Native Language: Country of Nationality: E-mail Address: Canada Address and Contact Information Street Address: City, Province, Postal Code : Phone Number: Fax Number: Country Address and Contact Information Street Address: City, Province, Postal Code : Country: Phone Number: Fax Number: Application Information Please select your desired length of study, and start date. Length of Study: ---January 7, 2020 (11 Weeks). Note: An assessment test will be administered to confirm your current English level. Accommodation: ---Required (Homestay for program duration)ResidenceNone Medical Insurance: ---Required (For program duration)None Airport Pickup: ---Required (One-Way)None Please use the space below to provide us with additional information about your application. Payment Information A CAD$100 non-refundable deposit is required to process your application and issue a letter of acceptance. Click “Submit now!” to submit your application. You will then be redirected to our secured online payment page to make your $100 deposit. * London Language Institute will be in contact with you within 3 business days. ** Please contact our office if you require an original letter of acceptance couriered to you. *** Fees for this service vary and we can provide you with this service if required.