Archer College Language School, Hamilton Campus
Registration 2008
Items marked with * are required
First Name*: Last Name*: Mr. Mrs. Ms.
Birth Date*: Email*: Nationality*:
Full Mailing Address: Telephone (include country code):
What type of Visa do you have? Student Visitor Working Holiday Other
How did you find out about Archer? Internet Friend Agent Studied Before Print Advertising Other
COURSE SELECTION
Program*: Part-time ESL Full-time ESL Intensive ESL TOEFL Prep TESL
How many weeks would you like to study*?
What is your current level of English? Basic Beginner Intermediate Advanced Not Sure
If you do not need to arrange homestay through Archer, please go to the bottom of the form to submit now.
HOMESTAY DETAILS
On what date do you need your homestay to start?
On what date will you leave your homestay?
Do you have allergies or any medical conditions? If yes, please explain:
Do you have any special dietary requirements?
Do you like Children? Yes No please specify:
Do you like Pets? Yes No please specify:
Do you smoke? Yes No
Would you like other students (from different countries) in the home? Yes No
My hobbies and interests are:
Do you require airport pickup*? Yes No
ARRIVAL INFORMATION
I will arrive at: Toronto Airport Hamilton Airport
Arrival Date:
My Flight number is:
My Flight Time is: am pm
I do not know my flight information yet. I will send this information at a later time.
PAYMENT DETAILS
I will pay: Wire Transfer Credit Card On my first day of class
Before submitting this form, please read our Refund Policy.
I have read, understand and agree with the terms as outlined in the Archer Education Group refund Policy*.