Students:
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more information
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How to Apply
Start Dates
Info/Conditions
Application Form
Student Visa
Requirements / Insurance

  Last Name*
  First Name*
  Address Street/No.
  City :
  Country:*
  PostalCode:
  Phone (home):
  Phone (business):
  Fax:
  E-mail Address:*
    Male       Female
  Date of Birth* (day/month/year):
  Native Language:
  Nationality:*
  Profession:
 
Language Course
  Program:*
  Duration:
  Start Date:*

 
  Private Courses   hours per week
 
 
Accommodation
 
My accommodation will be organized by:
Focus International       myself
 
If your accommodation will be organized by Focus International, please check your options:
Host family    Alternative accommodation
  For alternative accommodation, please contact Focus.
 
Type of room:  Single   Double (shared with another student)
Do you smoke?     Yes     No
Do you mind if the family smokes?     Yes     No
Do you like pets?     Yes     No
Would you like a family with children?     Yes     No
Would you like a family with teenagers?     Yes      No
 
Do you have any special requests for your homestay?
 What are your hobbies and interests?
What is your check-in date?      
What is your departure date?    
Do you have any special needs or remarks (allergies, vegetarian, etc)?
 
Travel Arrangements  
 
Airport pick up service    Yes    No
  Arrival date:
  Arrival time:
  Airline:
  Flight number:
  Departure date:
     
I have read and agree to the terms of the “General Information and Conditions”.
     
   
* required field


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Website was created with support from the
Government of Canada's Language Industry Program.