ESLI Trinity Western University

ESLI Trinity Western University
7600 Glover Rd. Langley, BC Canada V2Y 1Y1
ESLi@twu.ca
Short Term Program Application
Applicant Information
Full Name:
Family Name
Given Names
English Name
Address:
Postal Code
Phone:
Email
Birthdate:
Month
Day
Age:
Male/Female:
YES
NO
Telephone
If no – my address in Canada will be:
YES
NO
YES
NO
YES
NO
Year
Parent/Guardian:
Name
Do you require homestay?
Do you smoke?
Do you require any medication?
Do you have any allergies or disabilities?
If yes, what?
If yes, explain:
Program Information
Please indicate which program you are applying for.
International Summer Camp (Ages 14+)
3 Week Summer Camp
2 Week Summer Camp
Short Term Academic English Program (Ages 16+)
North American Leadership
Environmental Studies
Media & Communications
Retail & Customer Service
1
Cell
Payment Procedure
International payments can be made at esli-canada-studytour.peertransfer.com ESLi Canada has partnered with
peerTransfer to pay securely from any country and any bank.
Bank wires may be sent directly to:
English As A Second Language International
HSBC Bank Canada 20045 Langley By-Pass,Langley, BC V3A 8R6
Bank Transit Code: 10690 Bank ID Number: 016 SWIFT Code: HKBC CATT
Account # 743637-003
IMPORTANT NOTES:
•
•
•
•
•
ESLI does NOT issue receipts for Bank Wires. Please ask for a receipt from your bank
Bank charges range $25 to $40. Please send enough to cover bank charges so that ESLI receives full payment
The student’s name or company name must appear on the bank wire. ONLY THEN can we guarantee that
the money will be credited correctly
Email the bank wire transfer receipt to STUDY TOURS - ESLI at ESLi@twu.ca
Please note it can take up to 7 days for the funds to be received.
Refund Policy
All requests for refunds must be made in writing to esli@twu.ca or ESLI 7600 Glover Road, Langley, BC V2Y 1Y1
Full refunds will only be given upon proof of visa or study permit rejection by Canada Immigration.
Refunds will only be given if the student withdraws before the program start date. No refund will be given to a student
after the program has begun or due to a breach of the law, policy or regulation as determined by the government of
Canada, the police, ESLI or Trinity Western University.
Terms of Agreement, Disclaimer and Signature
I understand that my son/daughter will be required to participate in all classes and activities as outlined in the program
schedule, and abide by the following rules and regulations of the program.
•
No use of alcohol or illegal drugs
•
No possession of and/or use of pornographic materials
•
No breach of homestay rules
•
No unsafe or dangerous behaviors to self or others
I also understand that ESLI reserves the right to dismiss any student who does not abide by such rules and that such student
will be returned home at their own expense and without a tuition refund.
I, the undersigned parent or guardian of
, give permission for my
(please print clearly)
son/daughter to participate in the full range of activities that will take place during the ESLI Trinity Western University shortterm program. I understand that my child’s photo may be taken throughout the program and that they may be used for future
marketing purposes by ESLI. I grant ESLI the right to sign activity waiver forms and release forms deemed necessary, on my
behalf.
I certify that my answers are true and complete to the best of my knowledge.
Parent’s
Signature:
Date:
Student’s
Signature:
Date:
How did you hear about our programs?
Agent
Email:
Agent Name
Telephone
Friend or Family Member
2
ESLI Trinity Western University
7600 Glover Rd. Langley, BC Canada V2Y 1Y1
ESLi@twu.ca
Short Term Programs -­‐ Dates and Fees Summer 2015 International Summer Camp (Ages 14+) Program Dates Tuition Homestay Homestay 3 Weeks -­‐ July 29 – August 18th (20 nights) 2 Weeks -­‐ July 29 – August 11th (13 nights) $1995 $1295 $925 $645 $ 825 $ 580 (private room) (shared room) Short Term Academic Program (Ages 16+)
ESL & North American Leadership ESL & Environmental Studies ESL & Media & Communication ESL & Retail & Customer Service July 6 – 17
July 20 – July 31
August 3 – 14
August 17 – 28
Length of Study Tuition 2 weeks (14 nights) 4 weeks (28 nights) 6 weeks (42 nights) 8 weeks (56 nights) $ 850 $ 685
$ 1690 $ 1245
$ 2535 $ 1805
$ 3295 $ 2365
Homestay (private room) Homestay (shared room) $ 615 $ 1105 $ 1595 $ 2085 Other fees: Airport Transfers -­‐ $95 each way Temporary Medical Insurance -­‐ $2 per day Additional nights in homestay -­‐ $35 per night double occupancy or $40 per night single occupancy *Prices are subject to change. All fees are payable in advance and due prior to commencement of program **Prices are based on individual students. For group pricing please contact ESLi@twu.ca ***Homestay includes transportation to and from campus daily and 3 meals per day, single occupany for individuals only, all groups will be double occupancy only 3
ESLI Trinity Western University
7600 Glover Rd. Langley, BC Canada V2Y 1Y1
ESLi@twu.ca
International Summer Camp 2015 -­‐ July 29 – August 18 Schedule Wednesday
Arrival Day
Students will be
met at airport by
ESLI Staff
.
Sunday
Free Day with
Host Family
Monday
9AM- 12PM
ESL Instruction
Tuesday
Full Day
Whistler
Excursion
1PM - 5:30PM
White Rock Beach
Sunday
Monday
Rocky Mountain
Tour
Rocky Mountain
Tour
Sunday
Free Day with
Host Family
Monday
9AM- 12PM
ESL Instruction
1PM – 4PM
Metrotown
Shopping Centre
Tuesday
Wednesday
Thursday
Friday
9AM- 12PM
ESL Instruction
9AM- 12PM
ESL Instruction
1PM – 4PM
Fort Langley
Museum & Village
Tour
1PM – 4PM
Omada
Teambuilding
Challenge Course
Thursday
Friday
Saturday
Rocky Mountain
Tour
Rocky Mountain
Tour
Friday
Saturday
9AM- 12PM
ESL Instruction
9AM- 12PM
ESL Instruction
1PM - 4:00PM
Krause Berry Farm
1PM – 5:30PM
Deep Cove
Kayaking & Nature
Tour
Wednesday
Thursday
10AM – 5PM
Downtown
Vancouver Tour
.
9AM- 12PM
ESL Instruction
9AM- 12PM
ESL Instruction
9AM- 12PM
ESL Instruction
9AM- 12PM
ESL Instruction
1PM - 5:30PM
Stanley Park
Aquarium
12:30PM - 5:30PM
Cultus Lake Water
Park
12:15PM - 5:30PM
Golden Ears Park
1PM - 7PM
Playland
Wednesday
Thursday
Tuesday
Saturday
Departure Day
Students will be
taken to airport by
ESLI Staff
Farewell Party
*Activities are subject to change based on availability at time of booking.
4
Friday
Full Day
Excursion to
Victoria
Saturday
ESLI Trinity Western University
7600 Glover Rd. Langley, BC Canada V2Y 1Y1
ESLi@twu.ca
Short Term Academic Program Sample Schedule North American
Leadership
Environmental
Studies
Media &
Communication
Business &
Customer
Service
Monday
9-12 Class
1-3 Class
Tuesday
9-12 Class
1-3 Class
Wednesday
9-12 Class
1-3 Class
Monday
9-12 Class
1-3 Class
Tuesday
9-12 Class
Guest
Speaker
Tuesday
9-12 Class
1-3 Class
Tuesday
9-12 Class
Guest
Speaker
Tuesday
9-12 Class
1-3 Class
Tuesday
9-12 Class
Guest
Speaker
Tuesday
9-12 Class
1-3 Class
Wednesday
9-12 Class
1-3 Class
Tuesday
9-12 Class
Guest
Speaker
Wednesday
9-12 Class
1-3 Class
Monday
9-12 Class
1-3 Class
Monday
9-12 Class
1-3 Class
Monday
9-12 Class
1-3 Class
Monday
9-12 Class
1-3 Class
Monday
9-12 Class
1-3 Class
Monday
9-12 Class
1-3 Class
Wednesday
9-12 Class
1-3 Class
Wednesday
9-12 Class
1-3 Class
Wednesday
9-12 Class
1-3 Class
Wednesday
9-12 Class
1-3 Class
Wednesday
9-12 Class
1-3 Class
5
Thursday
9-12 Class
Omada
Teambuilding
Challenge
Course
Thursday
9-12 Class
Interview a local
leader
Thursday
9-12 Class
Ocean Kayaking
Thursday
9-12 Class
Grouse
Mountain
Thursday
9-12 Class
CBC Tour
Thursday
9-12 Class
Vancouver Art
Institute Tour
Thursday
9-12 Class
Better Business
Bureau
Presentation
Thursday
9-12 Class
Customer
Service Survey
Friday
9-12 Class
1-3 Class
Friday
9-12 Class
Presentations
Friday
9-12 Class
1-3 Class
Friday
9-12 Class
Presentations
Friday
9-12 Class
1-3 Class
Friday
9-12 Class
Presentations
Friday
9-12 Class
1-3 Class
Friday
9-12 Class
Portfolio
Presentations