PLEASE COMPLETE IN ENGLISH ONLY
If you have already completed the student registration,
you may go directly to the Housing registration section (below)
Please make sure you fill in your Name below so we may match the records.

SSL Certificate
SSL Certificate

-Fields marked by "* " are mandatory-


STUDENT INFORMATION
* First Name
* Last Name
* Sex Male Female
* Nationality
Address
* Country
Phone
Fax
Emergency Contact(Name,Phone number)
* Email address
* Date of Birth


PROGRAM INFORMATION
Program type
Program
I wish to START my studies on >Calendar
I wish to FINSH my studies on >Calendar
Private / Homestudy Hours
(If selected / 10 or 15 or 20 or 25 hours (homestudy only))
* English Speaking Ability
How did you find out about IH Vancouver?


ACCOMMODATION DETAILS
Type of Accommodation Requested
Do you smoke? Yes No
Do you have special dietary requirements? Yes No
Hobbies and Interests
Do you have any medical problems or conditions?
Do you have allergies?
Date of first day of homestay
Last day of homestay
Do you need airport pick-up? Yes No
Enter your arrival time and flight information
Would you like to purchase medical insurance? Yes No
First day of Medical Coverage
Last day of Medical Coverage


Do you have any Questions?



(Questions in other languages, please send to info@ihvancouver.com, Thanks)