Dls Fees & Schedules

DYSON LANGUAGE SCHOOL 2009 Enrollment Form and Fees 36 Eglinton Av West, Toronto, Ontario, Canada, M4R-1A1, T: +1-416-518-8227, F: +1-647-342-4314, www.dysonlanguageschool.com, [email protected]

STUDENT PERSONAL INFORMATION Family (Last) Name: __________________________________ First Name:

__________________________________

Nationality:

__________________________________

Native Language:

__________________________________

Date of Birth:

__________________________________

Street Address:

__________________________________

City/Province:

__________________________________

Country/Postal Code: __________________________________ Phone/Fax:

__________________________________

Email:

__________________________________

Emergency contact:

__________________________________

Phone/Fax:

__________________________________

My level of English: __________________________________ STUDENT ARRIVAL INFORMATION Do you require airport reception?

YES

NO

If you do not have the details of your arrival at the time of registration, please provide us with this information as soon as you can. We are not responsible for flight changes and last minute cancellations. Arrival Date _________________ Arrival Time _________________ Airline & Flight No. _________________

STUDENT PROGRAM INFORMATION Start Date ____________________ End Date ____________________ Number of Weeks ____________________ weeks Dyson’s Super Intensive Program $280/week x weeks = dollars Dyson’s Intensive Program $255/week x weeks = dollars Dyson’s Standard Program $205/week x weeks = dollars Dyson’s Part Time Program $180/week x weeks = dollars Dyson’s Business Program $225/week x weeks = dollars Materials Fee $ 10/week x weeks = dollars Work Internship Fee $ 1,200 = dollars Volunteer Fee $ 250 = $ dollars Private tutorials $ 45 x hours = dollars Registration Fee $ 100 x = $ 100 dollars Accommodation Placement $ 195 = $ dollars Homestay $210/week x weeks = dollars Airport pick-up $80 x = dollars Airport drop off $70 x = dollars Total fees dollars Outstanding balance dollars (*) Please fax us or email us this form and we will calculate the fees that must be paid now and the balance that must be paid by the first day of classes. Once the first installment is paid, we will release the Letter of Acceptance to you. 2009 START DATES All courses start every Monday ACCOMMODATION DETAILS Starting Dates Ending Dates Duration Are you a smoker?

______________ ______________ ______________ YES

NO

Are you on any medication

YES

NO

Do you have any special dietary need?

YES

NO

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SIGNATURE I have read, understood and accepted all the Enrollment conditions and Refund policies. Signature Print Name Date Agent (if any) ENROLLMENT AT DYSON LANGUAGE SCHOOL 1. Fax, mail, e-mail, or courier your completed Enrolment Form to Dyson Language School, or an authorized agent in your home country. All students are registered through Dyson Language School. 2. Make your payment. Your non-refundable registration & placement fee are due at the time of registration with the balance due before the start of your course. 3. Once your Enrolment Form and payment have been received, we will send you a Letter of Acceptance and receipt of payment. If you require a visa to enter Canada, you must present this letter to your nearest Canadian Embassy or Consulate with your visa application package. 4. Check the Canadian visa requirements for citizens of your country at http://www.cic.gc.ca 5. Arrive at school before or on your starting date at 8:45 a.m. Upon completion of your registration, placement test and an orientation session, you will begin classes immediately.