Apply: ESL Program

Applicant Information
First Name:
Last Name:
Gender:
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 :
Phone Number:
Fax Number:


Country Address and Contact Information
Street Address:
City, Province, Postal Code :
Country:
Phone Number:
Fax Number:


Application Information
Desired Length of Study (in Weeks):
If other, please specify:
Desired Start Date:
If other, please specify:
English Level:
Accommodation:
Medical Insurance:
Airport Pickup:


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.