Register online - BLI Language school in Canada

Application form

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Personal information

Copy of your passport

Max. file size: 1 GB.

Be advised that you will be required to present your passport on your first day of school.

Passport number(Required)

Date of Birth(Required)

Gender(Required)

Mother tongue(Required)

Contact information

Address(Required)

Street Address

City(Required)

City

State(Required)

State / Province / Region

Zip / Postal Code(Required)

Zip / Postal Code

Country(Required)

Country

Are you..?(Required)

Email(Required)

Enter Email Confirm Email

Alternative E-mail address

Enter Email Confirm Email

Phone number(Required)

Cellphone(Required)

Whatsapp number

Emergency contact

Name(Required)

Last name(Required)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Program information

Please note that English courses are available in Montreal and online. In Quebec City, English is offered only as part of the Evening Program. French courses are available in both cities and online.

What language would you like to study?(Required)

Campus(Required)

Program of interest(Required)

Start date(Required)

For how many weeks?(Required)

Add private lessons to course(Required)

Number of private lessons per week(Required)

Number of weeks you'll take private lessons(Required)

Language Level

Accommodation needed(Required)

Other services

Type of accommodation(Required)

For how many weeks?(Required)

Accommodation start date

Accommodation end date

Allergies(Required)

Specify(Required)

Medication taken(Required)

Specify

Illnesses(Required)

Specify

Food restrictions(Required)

Specify

Can you live with kids?(Required)

Can you live with cats?(Required)

Can you live with dogs?(Required)

Do you smoke?(Required)

Interests and Comments(Required)

Airport Pick-up(Required)

Airport Drop off(Required)

Medical Insurance(Required)

Please note that it is mandatory to have an international medical insurance when in Canada

Other information

How did you hear about us?(Required)

Do you have a coupon code?

Yes

Enter the coupon code:

Referred by Agent(Required)

Any other relevant information to your application.

Signature

Image Copyright Release

I authorize BLI to use my image and testimonials for marketing and advertisement purposes.