Download VanWest College Registration Form

VanWest College Course Registration Form Vancouver & Kelowna
AGENT NAME
Please send this form to:
Suite 200
1016 Nelson Street
Vancouver, British Columbia
Canada V6E 1H8
PERSONAL INFORMATION
Telephone:
Fax:
Email:
Web:
(604) 731-5256
(604) 739-0913
[email protected]
www.vanwest.com
COMPLETE ALL SECTIONS OF THIS FORM
First Name
Family Name
Address
City
State / Province
Country
Postal Code
Phone
Fax
E-mail
Date of Birth (MM/DD/YY)
Citizen
Working Holiday/Visa
English Speaking Ability:
Visitor Visa
Beginner
Male
Female
Nationality
Student Visa
Landed Immigrant
Is this your first time at VanWest?
Advanced
TOEIC Score:
Intermediate
Do you need VanWest Medical Insurance? (Approximately $60 CDN/Month)
Y
N
Y
N
TOEFL Score:
(Medical Insurance is required by law)
EMERGENCY CONTACT
Name
Phone
E-mail
SELECTED COURSES
LOCATION:
VANCOUVER
Course Name:
# of Hours
# Weeks
Start Date (MM/DD/YY)
End Date (MM/DD/YY)
Course Name:
# of Hours
# Weeks
Start Date (MM/DD/YY)
End Date (MM/DD/YY)
GENERAL ENGLISH PROGRAM
LOCATION:
VANCOUVER
Select Program:
# of Hours
# Weeks
KELOWNA
KELOWNA
Start Date (MM/DD/YY)
End Date (MM/DD/YY)
HOMESTAY INFORMATION
Do you want a VanWest Homestay?
Y
N
Homestay Start Date:
Homestay End Date:
Placement Preference: Please list order of preference from 1 to 3. (VanWest cannot guarantee your first choice.)
(
) Family with Young Children
(
) Family with Teenagers
(
) Adult(s) with No Children
Do you smoke?
Y
Do you like animals?
N
Dogs
Cats
No Pets
Does not matter
Are there foods you cannot eat? If yes, please specify:
Do you have any allergies? If yes, please specify:
Do you take any regular medicines? If yes, please specify:
Comments or Special Requirements?
ARRIVAL INFORMATION
ADVISE VANWEST OF CONFIRMED ARRIVAL DETAILS
Expected Arrival Date
Arrival Time
Do you want to be picked up at the airport?
Y – If Yes:
Flight Number
One Way or
Return
Airline
No
Send completed Course Registration Form and Fees to VanWest College. All fees must be paid two weeks prior to your starting date at VanWest.
Please read VanWest Policies and Procedures on the next page.
I declare that the information I have given is correct and accurate. I declare that I have read, understand and accept the policies and procedures of
VanWest College.
Signature _______________________________________________________
Date _____________________ (MM/DD/YY)
For more information, or to make inquiries, e-mail us at [email protected]
REFUND POLICY
Tuition Refund Policy
To apply for a refund, a student must submit written notice of withdrawal to VanWest College.
If cancellation is received before the program start date:
a) If a visa is denied, the student will be refunded all fees except the registration fee and the homestay placement fee.
b) Less than 7 days after registration, the student will be refunded 75% of the total fees.
c) 30 calendar days or more before start of class, the student will be refunded 75 % of the total fees.
d) Less than 30 days before the start of class, the student will be refunded 60% of the total fees.
If cancellation is received after the program start date:
a) Up to 10% of the program’s duration time, the student will be refunded 50% of the total fees.
b) Between 10% and 30% of the program, the student will be refunded 30% of the total fees.
c) After 30% of the program is finished, there is no refund.
Amendments to the study program after the start date: Students may apply for a reduction to their study hours after
starting their program; however, there will be no cash refund for these changes. Reductions may only be made from 29 hour to 25
hour programs; reductions from 25 hours to 15 hours are not permitted. Eligible time will be credited based on current prices and
promotions.
HOMESTAY AGREEMENT (for students enrolled in VanWest Homestays)
1.
If you book a shorter homestay period than tuition period, and later decide to extend your homestay, an extension fee will apply. If you do not
give enough notice of your plan to extend, VanWest cannot guarantee your host family will be available and relocation may be necessary.
When your classes at VanWest finish, you must move out of the homestay. All payment for homestay must be made through the Homestay
Department at VanWest. If you decide to make direct payments to your host family, VanWest College will be released from any liabilities that
may occur during this homestay period.
If you have any questions or problems, or if you need to make a change, please talk to the Homestay Coordinator. All changes must be made
through the Homestay Coordinator within the first week of your class.
If you wish to leave the homestay early, you must tell the Homestay Coordinator 4 weeks before you leave. If you do not, you will have to pay
for the following month even if you have moved out. If you go on a holiday for more than 7 nights, your host family will reimburse you $6/
st
th
night for each night you are away (Leave by 10AM on the 1 day and come back after 10AM on the 8 day). Also, please note that the
checkout time is no later than 11AM on your last day of homestay.
You will take part in the family’s daily life and you will help when possible. For example: keeping your room clean, helping to clean up after
meals etc. You must follow the house rules, such as for smoking, eating etc. Tell your family if you cannot be home for dinner or if you plan to
be out late. Also, when you make plans for the evening or weekend, tell them where you will be and what time you will come home. It is very
important to communicate clearly with your host family so they don’t worry about you.
If you break or damage any property of the host family, you must pay for any repair or replacement of that property. VanWest will not be
responsible for any lost, damaged or stolen property of the student or host family during the homestay period.
If you do not follow this Homestay Agreement, you must meet with the Homestay Coordinator and may be asked to leave your homestay
without refund.
2.
3.
4.
5.
6.
HOMESTAY REFUNDS
1.
Students who cancel the homestay won’t get a placement fee back.
2.
If a student cancels Homestay within two weeks of the course start date, he/she will be required to pay 25% of the first month's homestay
fees.
3.
Students who book shorter homestay periods must be prepared to find their own accommodation after the confirmed homestay period
ends.
By signing this contract, I
1)
2)
acknowledge that I understand and accept the above refund policies & homestay agreement.
consent to VanWest College using my photographs and testimonials for their promotional materials. If I do not want VanWest
College to use my photographs or testimonials in their promotional materials, I will notify the College as such in writing.
Signed by the Student ______________________________
Date ___________________________
Signed by VanWest Staff ____________________________

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