Application Form

Please answer the questions below to apply to the Canadian College of English Language. You also have the option to use the Offline Application Form.

Course*

Start Date*

Lessons/Week*

Length*

First Name*

Last Name*

Birthday*

Gender*

Female Male

Country*

Citizenship*

Email*

Phone #*

Address*

Allergies, Diets, Medical concerns, Requests?

Accommodation

Arrival Date

Departure Date

Airport Pickup

Medical Insurance

Yes No

Scholarship

Yes No

Scholarship Code

Agent Application

Yes No

Agent Name

Agent Email

I have read and agree to the following and am 18 years of age or older.
CCEL Policies & Procedures