ATC - Alaya International Training Centre Vancouver, Canada









 













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On-line Registration:


If you would like to register online, please fill out the online registration form. When you finish typing your answers, click the "Submit" button below the form. We will respond to your application within 24 hours.

Personal Information
First name:
Family name:
Date of Birth: (mm/dd/yyyy):
Gender Male Female
Nationality:
Native language:
Passport No.:
Home Address:
City:
State/Province:
Country:
Zip/Postal Code:
E-mail:
Phone:
Fax:
Emergency contact name:
Phone:
Program Registration
Which program(s) would you like to study? TOEIC (English for International Communication)
TESOL (ESL Teacher Training)
TOEIC + TESOL
ESL+TOEIC
ESL+TOEIC+TESOL
ESL + TESOL
TOEFL
ESL
Other
When do you plan to start your studies?
(mm/dd/yyyy)
How many months do you plan to study?
What is your English speaking ability? Beginner Intermediate Advanced
Have you ever studied English before? Yes No
If yes, how long?
Have you ever taken a standardized English test
(for example, TOEFL, TOEIC, IELTS)?		 Yes No

If yes, which test, how long ago, and what was your score?

Have you ever lived in an English-speaking country? Yes No
If yes, how long?
How did you find out about ATC?
Homestay Information
Do you need homestay ? Yes No

If yes,
Date of first day of homestay:
(mm/dd/yyyy)

Date of last day of homestay:
(mm/dd/yyyy)
Do you need airport pickup? Yes No

If yes, enter your arrival time and flight information:
Other information
Do you want medical insurance? Yes No
Do you have any questions or comments?

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ATC - Alaya International Training Centre
626 W. Pender St.- Suite 720, Vancouver, BC, V6B 1V9, Canada TEL: 604-685-3454 E-mail: info@atcbc.com