Contact Information (for internal use only - will not be posted on site) Correct and Full Name English or Preferred Name Date Of Birth (Month/Day/Year) Full Residence Address Telephone Email Emergency Contact Number Any Health or Medical Conditions Citizenship Planned Length of Study in Canada Planned Start Date in Canada Planned Finish Date in Canada Homestay Required YES NO I Your budgets to study in Canada: Accommodation & living expenses ESL + Golf Training Please list your English Skill Level (B) Beginner (I) Intermediate (A) Advanced Reading Listening Speaking Writing Reason for Studying English English for school or work Studying at English university Working in English company Internship requirement Other ESL Lesson Preference(s): Grammar based program Pronunciation, accent reduction Conversation based program Writing and composition Reading and Listening Golf Lesson Preferences: Golf Course Difficulty Level: very easy easy moderate difficult very difficult Program of Interest ESLGolf ½ day package ESLGolf full day package ESLGolf multiple day packages ESLGolf all inclusive weeklong package The Information Provided Above is Complete and Accurate to the Best of My Knowledge. I agree
Golf Lesson Preferences: Golf Course Difficulty Level: very easy easy moderate difficult very difficult
