Vancouver Island Academy - Application of Admission
Registration form for IELTS Preparation Program
Personal Information
Family Name *
Your answer
First Name *
Your answer
Gender *
Birth Date *
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First language *
Your answer
Telephone *
Your answer
E-mail *
Your answer
Emergency Contact
Name of contact *
Your answer
Relationship *
Telephone *
Your answer
E-mail
Your answer
IELTS Preparation
Which IELTS class are you planning to take? *
Which class would fit your schedule? *
Requested Start Date *
Check one or more months
Required
Option Weekly Intake
Start dates begin Monday of each week
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Request for Accommodation *
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