Application for ESL at
Sprott-Shaw International Language College

Enter your information into this online form.
If you need help with any item, leave it blank.
We can help ONLY if you INCLUDE YOUR EMAIL ADDRESS.
Your Status in Canada
Visitor      Student      Other
Your Personal Information
First Name:
Last Name:
  Middle Name:
  English Name:
Gender Male Female
Address:
City:
  Province:
Country:
  Postal Code:
Citizenship:
  Birthplace:
Birthday:
  Phone:
  Fax:
E-mail:
Confirm E-mail:
ESL Program Selection
Please indicate your program dates.
Indicate your choice of program
and the desired start and end dates of months you would like to study:

Start Date: Day Month Year
End Date: Day Month Year
  Full Time    Part Time

What English Language level?

Introductory      Elementary     Intermediate    
Upper-Intermediate     Advanced

Have you ever taken a recognized English level exam before?

Yes      No
If yes, your most recent score:
TOEFL TOEIC Cambridge
Have you taken other ESL courses:  
Introductory      Elementary     Intermediate    
Upper-Intermediate     Advanced
If yes, for how long?

Acceptance into programs will depend on eligibility of assessed level and space availability.

Additional Services

1. I would like you to arrange a family homestay for me.
2. I will make my own living arrangements.

Airport Pickup ($50.00 CAD) I would like you to arrange airport pick-up for me.
Yes     No
Medical Insurance ($1.50 per day CAD)  I would like you to arrange medical insurance for me.
Yes    No
Kamloops International Student Services will review your application and,
when it is complete, will forward your application to SSILC for you.

Later, you will receive an invoice for your school fees from SSILC.

Did you enter your email address? If not, we cannot help you complete this application.

To Kamloops International Student Services