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.

-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
Birth Date


PROGRAM INFORMATION
Campus
Program
I wish to START my studies on >Calender
I wish to FINSH my studies on >Calender
Internship(if applicable) >more detail
I wish to START my studies on >Calender
I wish to FINSH my studies on >Calender
English Speaking Ability
How did you find out about IH Vancouver(ILLC)?


ACCOMMODATION DETAILS
Type of Accommodation Requested
Do you smoke? yes No
Do you drink alcohol? yes No
Do you like children? yes No
Do you like dogs? yes No
Do you like cats? yes No
Hobbies and Interests
Do you have any medical problem 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 fright information
Would you like to purchase medical insurance from IH Vancouver (ILLC)? yes No
First day of Medical Coverage
Last day of Medical Coverage


Do you have any Questions?(English only,please)



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

By selecting the "Submit" button below you agree to have read, understood, and accepted
the refund policy for student registration and homestay

Refund Policy