Application – CAEL|TOEFL|IELTS 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 Do you require Immigration assistance? ---YesNo Please select your desired length of study, and start date. (Please note: The complete TOEFL/IELTS and CAEL Success! program is 12 weeks in duration, however it is possible to study for shorter lengths of time for short-term upgrading.) Desired Program: ---CAEL PreparationIETLS PreparationTOEFL Preparation Length of Study: ---4 Weeks12 Weeksother duration Desired Start Date: Our test preparation courses start on every Tuesday, please specify which Tuesday is suitable for you. Note: An assessment test will be administered to confirm your current English level. Accommodation: ---Required (Homestay for program duration)None 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$150 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 $150 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.