Apply: ESL Program

Applicant Information
First Name:
Last Name:
Date of Birth - Day:
Date of Birth - Month:
Date of Birth - Year:
Native Language:
Country of Nationality:
E-mail Address:

Canada Address and Contact Information
Street Address:
City, Province, Postal Code :
Home Phone Number:
Mobile Number:

Home Country Address and Contact Information (Note: A home country address is required for all international students.)
Street Address:
City, Province, Postal Code :
Home Phone Number:
Mobile Number:

Application Information
Desired Length of Study (in Weeks):
If other, please specify:
Desired Start Date:
If other, please specify:
Do you want to pay your fees in full or on a monthly basis?
English Level:
Medical Insurance:
Airport Pickup:

If you were referred by an agency, please indicate the name of the agency:
Please upload a copy of your passport (jpg,gif,pdf files accepted). If you are not able to upload your passport now, you will be requested to send a copy by email. .
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.