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.