Registration & Homestay Application*
(Please use English - Don't worry, it doesn't have to be perfect)
Please call me by this name
My email address: (e.g.: email@example.com)
My phone number: (with country, city, area codes):
My date of birth is: (mm/dd/yy)
I am: (choose one) single
My age is:
I speak these languages:
In case of an emergency please contact: (Name & phone - English speaker prefered)
I would like to start on (mm/dd/yy) and study for weeks
My English level is: Beginner
Other Relevant Information: (medical needs, allergies,travel plans, etc.)
Are you interested in taking a field trip with CES? Please note that all of our trips are not always available. Make trip inquiries in the question box below or by email.
Banff & Calgary
Vancouver & Victoria
Wells Gray Park
What other areas of study are you interested in addition to
Practical English, our ESL program?
(check one or more boxes)
Have you been abroad before? yes
Describe your personality:
What are your interests and hobbies?
Is there anything that you particularly dislike? (food, activities, situations, etc.)
If you have any questions, please ask them here.
* There is a $150 fee to reserve your homestay. It is to be paid when you send back our copy of the Student
Enrollment Agreement. Do not send money now.