Apply: Summer|Winter Program

Applicant Information
First Name:
Last Name:
Gender:
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 desired program and start date:

If you are travelling with a friend or relative, and would like to reside in the same homestay, please tell us this person's name:

Do you smoke?
Are you comfortable with pet(s)?

Do you have any allergies?
If yes, please explain:

If you would like to provide us with other information, please use the space below:


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.