Greater Toronto Language School: English School in Toronto - Logo
Greater Toronto Language School slogan. Where English Comes Alive
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Please note: fields marked (*) are mandatory

1. PERSONAL INFORMATION

* Family Name:
* First Name:
* Street Address:
* City:
Province:
Country:
* Zip/Post Code:
* Phone Number:
Fax:
* Email:
Birthday:
Sex: Male Female
Native language:
Interests:

2. PROGRAM CHOICE

Agent Name (if applicable):
Course Start (DD/MM/YYYY):
Course Duration:
Program Choice: English Fundamentals
Intensive English
Deluxe English
Would you like private tutoring? YesNo
How Many Hours?:
Approximate level of English:

3. LIVING ARRANGEMENTS

Accommodation Required? YesNo
If no, Who will be your Contact Person in Canada?
Contact name:
Contact phone#:

4. HOMESTAY

Accommodation Start Date:
Accommodation End Date:
Please State Any Dietary Needs:
Can you live with children? YesNo
Do you smoke? YesNo
Can you live with pets? YesNo
Other Homestay Requirements?:

5. TRAVEL INFORMATION

Arrival Date:
Airline and Flight# (if available):
Arrival time:
Do you want someone from GTLS to Meet You? YesNo
Do you require insurance coverage? YesNo

Comments:




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