Registration

Thank you for choosing to enroll at Chelsea Language Academy. Please follow these easy steps to complete your registration:

1. Complete the Registration Form.

Submit the registration form online, by fax or send it by mail to:

Fax #:+1 416 352 7533

Address:
2221 Yonge St., Suite 503
Toronto, Ontario,Canada M4S 2B4

2. Wait for Receipt

We will send you an invoice by e-mail or fax.

3. Make Payment

Pay Registration Fee of CAN$89, Program fee and Homestay Placement Fee of CAN$89 (if applicable) by cash (in person only). Payments may be made by cash or credit card at the school or by Wire Transfer (interbank direct deposit) as follows.

Wire Payment / Direct Deposit Information

Name / Beneficiary: Chelsea Language Academy
Bank Name: TD Canada Trust
Bank #: 004
Transit #: 12242
Account #: 0525-5216924
SWIFT CODE: TDOMCATTTOR
Branch Address: 777 Bay St., Toronto, Ontario, Canada M5G 2C8

If paying by credit, click here to print form to mail/fax us.

4. We will send you an acceptance letter for your visa (if required).

Please fill out this form and submit it. We will then confirm your registration, subject to availability.

PERSONAL INFORMATION

Surname

Given Names

Nationality

Native Language

Birthdate



   (MM/DD/YYYY)

Gender

Male     Female

Address

Country

Email

Telephone

   (include Country code)

PROGRAM INFORMATION

Main Study Programs

Supplementary Classes

TOEFL Effective English (1pm-5pm)  $842 per month / 4weeks

Course Start Preference

New students start every Monday (arrangements can be made to have students start at other times)

   (MM/DD/YYYY)

Anticipated Number of
Weeks of Study

Approximate English
Level Now

MEDICAL INSURANCE

Do you want the school to arrange medical insurance for you from $2 per day plus a $20 administration fee?

No     Yes

Do you smoke?

Do you have any allergies?

Do you have any existing medical conditions?

ACCOMMODATION REQUIRED

Type

If Homestay is desired:

Note: Chelsea recommends that you stay intially in a shared student apartment and switch later to a homestay. After arriving you can visit pre-selected candidate homes and families and choose your favorite homestay.

Do you want Premium Homestay (nicer home in nicer area) or Standard Homestay?

Will you smoke in the house?

  No     Yes

Can you Live with children?

  No   Yes

Can you Live with pets?

  No   Yes

Do you have medical requirements or food restrictions?

Do you want us to arrange airport pick up for you?

  No   Yes

How did you hear about us?

Agency (Which one?)

Friends  (Who?)

Internet  (Which website?)

Other

Please fill out this form and submit it. We will then confirm your registration, subject to availability.



	COPYRIGHT © 2010 CHELSEA LANGUAGE ACADEMY	PRIVACY POLICY