Formulario de Inscripción

Im applying for

Temporary visa (less than six months) Student visa (more than six months)

I want to apply for bright future program

Yes No

Program options

First choice Second choice

I want to enroll in

English French

My level is

Beginner Intermediate Advanced

I want to study at MIILA:

Recomended start dates

MIILA private

6H/ week = 7 lessons

MIILA Business

8H/ week = 10 lessons

Acceleration Preparation Courses (APP):

IELTS TOEFL TEFaQ

IELTS

April 27 August 17 October 21

TOEFL

January 20 May 4

TEFaQ

I will requiere accomodation in Montreal

Yes No

Type of residence

Homestay Residence VIP Room (Standard Residence)

Meals

Homestay, 3 meals (breakfast - lunch - dinner) Homestay, 2 meals (breakfast - dinner)

Do you have any special dietary restrictions?

Yes No

Do you have any allergies?

Yes No

Do you have any special medical needs?

Yes No

Do you have any special request? tell us about it

Help us to find your host family. Please tell us about yourself:

I will take an emergency Health insurance policy with MIILA

Yes No

I will requiere a Custodianship letter (for minors under 18 years of age)

Yes No

I will requiere a transfer -

From the airport to Montreal From Montreal to airport

How did you find about MIILA?

Write your answer here

Acknowledgement

I certify that all the information provided by me ins this application form is accurate and correct and that MILA will not be held responsible where medical information has beeen withheld or falsely given. I autorize MIILA to take the appropiate action in event of a medical emergency, and I understand that I am responsible for all medical biils incurred. I acknowledge that i have read, understood and agree with terms, pledge and policies set forth in this document.

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Ubícanos

8255 Mountain Sights – Suite 150 | Montreal, Quebec

H4P 2B5 CANADA

Teléfono: +57 – 311 697 42 56

Email: info@miila.com

Course Categories

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