Apply Online How to Apply Get in touch Apply Online Student InformationName(Required) First Name Family Name Gender(Required) Female Male Two-spirit Non-binary Other Date of birth(Required) MM slash DD slash YYYY Age(Required)Citizenship(Required)Please select a countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland 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AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Phone(Required)Passport Number Do you require a Custodianship Letter? (for individuals under 18 years old)(Required)Mandatory if you don’t have a custodian in Canada. The custodian must be a Canadian Citizen or Permanent Resident. Yes No Emergency ContactName First Last Agency InformationAre you an agent?(Required) Yes No Name of Agency(Required) How did you hear about inlingua Victoria?How did you hear about inlingua Victoria?(Required) Agency Website Friends Family Member Other Course SelectionIt is mandatory that at least one course is selected.English Programs General English Full Time General English Part Time AM General English Part Time PM Private ESL tutoring (minimum 10 hours) Program duration for General English Program(Required)If you selected a General English Program, select how many weeks of study you are applying for. Please enter a number from 1 to 52.Program hours for Private ESL tutoring(Required)If you selected private ESL tutoring, please indicate how many hours (minimum 10 hours).Please enter a number from 10 to 50.Work & Study Programs Hospitality and Services Management Co-op (Full Time - 54 weeks) Professional Business Skills Co-op (Full Time - 50 weeks) Start Date(Required)Select below when you intend to start your program. Classes start on Mondays MM slash DD slash YYYY IELTS Workshop April Workshop - April 1st, 3rd, 8th, and 10th Teacher Training TESL Teacher Training Certification Course (online: 12 weeks) Discount Code Medical CoverageIt is mandatory that all students have medical coverage throughout their stay at inlingua.Do you need Medical Insurance from inlingua?(Required) Yes No Accommodation InformationAccommodation Required?(Required) Yes No Homestay start date MM slash DD slash YYYY Homestay end date MM slash DD slash YYYY If you do not have the start/end date yet, click here. TBD Arrival & Departure InformationDo you need airport pick-up?(Required) Yes No Do you need airport drop-off?(Required) Yes No Student DeclarationStudent Declaration(Required)I declare that the information I have provided is correct and accurate. I have read and understood all of inlingua Victoria’s policies as outlined in the Student Handbook. I agreeStudents who are 18 and under must have a parent/guardian sign.Parent/Guardian Signature Signature Date MM slash DD slash YYYY Untitled First Choice Second Choice Third Choice Untitled First Choice Second Choice Third Choice CommentsThis field is for validation purposes and should be left unchanged.
