MR.

Ms.

First Name :

Family Name :

Date of Birth :

Address :

Street :

City :

Province :

Postal Code :

Telephone :

E-mail :

Your Visa Status in Canada :

Term of Study :

From (dd/mm/yy) :

for

month(s)

Date of Speaking Level Test (dd/mm/yy)

Time

Course of Study :

Super Intensive Course

Full-Time Course

Part-Time

AM ESL

Speaking (3hrs)

AM Speaking

Speaking (1.5hr)

8:50 AM

10:30 AM

1:00 PM

2:45 PM

Listening

10:30 AM

1:00 PM

2:45 PM

4:30 PM

Writing

1:10 PM Everyday Writing

2:45 PM Essay Writing

Pronunciation

1:00 PM

2:45 PM

*Terms and Conditions

1. The enrollment application fee is non-refundable
2. All fees are non-transferable
3. The balance of the program and accommodation fees must be paid when 
   the invoice issued and are due a minimum of four weeks prior to the 
   beginning of the program.
4. All bank charges incurred in sending money to Robson College or for
   refunds issued by the college will be invoiced to the student.
5. Cancellation are subject to the conditions of the college refund policy.

*REFUND POLICY (PLEASE READ CAREFULLY)

ALL WITHDRAWALS MUST BE REQUESTED IN WRITING. ROBSON COLLEGE WILL CALCULATE REFUNDS AS FOLLOWS:

THE APPLICATION FEE AND THE HOMESTAY APPLICATION FEE SHALL BE NON-REFUNDABLE. IF A STUDENT IS DENIED STUDENT AUTHORIZATION BY IMMIGRATION CANADA, ALL OF THE TOTAL FEE SHALL BE REFUNDED, LESS AN ADMINISTRATIVE FEE OF $200. FOR A WITHDRAWAL LESS THAN 7 DAYS AFTER SIGNING THE STUDENT APPLICATION, ALL OF THE TOTAL FEE SHALL BE REFUNDED, LESS THE LESSER OF 25% OF TOTAL FEES OR $400. FOR A WITHDRAWAL MORE THAN 30 DAYS BEFORE THE START OF THE TERM OF STUDY, 75% OF THE TOTAL FEES SHALL BE REFUNDED. FOR LESS THAN 30 DAYS BEFORE THE START OF THE TERM OF STUDY: 60% OF THE TOTAL FEES. WITHIN THE FIRST 10% OF THE TERM OF STUDY: 50% OF THE TOTAL FEES. BETWEEN 10 AND 30% OF THE TERM OF STUDY COMPLETED: 30% OF THE TOTAL FEES. MORE THAN 30% OF THE TERM OF STUDY COMPLETED: 0% OF THE TOTAL FEES.

I declare that the above information is correct and complete. I have read and accept everything on this form.