Apply

Please select a Location:
--Please Select--MississaugaWinnipeg

Personal Information

Last (Family) Name:

First Name:

Gender:
MaleFemalePrefer to not disclose

Email Address :

Address:

City:

Province/State:

County:

Postal Code:

Telephone:

Emergency Contact Name:

Emergency Contact Telephone:

Citizenship:

Birthday (yyyy/mm/dd):

Have you studied at Heartland before?
YesNo

Visa Classification:
StudentVisitorWorking

What is your current level of English?
--Please Select--BeginnerLow IntermediateIntermediateHigh IntermediateAdvanced

Programs

Please indicate if you will be studying online or in-person
OnlineIn-Person

Which course are you applying for?
--Please Select--Semi-Intensive (Part-time, 15 hours)Semi-Intensive EVENING ONLINE (Winnipeg Only - Part-time, 15 hours)Intensive EVENING ONLINE (Winnipeg Only - Full-time, 25 hours)General English Evening Class Online (Tuesdays and Thursdays - Mississauga Only)Intensive (Full-time, 25 hours)Pathway (Full-time, 25 hours)Super-Intensive (Full-time, 33 hours)IELTS Preparation (8 hours per week)Conversation (Mississauga Only - 8 hours per week)

Which course are you applying for?
--Please Select--Semi-Intensive (Part-time, 15 hours)Intensive (Full-time, 25 hours)Pathway (Full-time, 25 hours)Super-Intensive (Full-time, 33 hours)IELTS Preparation (8 hours per week)IELTS Preparation + Grammar Booster EVENING (Mississauga Only - 6 hours per week)General English Evening Class In-Person (Tuesdays and Thursdays - Mississauga Only)CELPIP Preparation EVENING (Mississauga Only - 6 hours per week)Conversation (Mississauga Only - 8 hours per week)

If you are applying to a Pathway Program, please select the College or University you are applying to:
--Please Select--Assiniboine Community College (ACC)ATC (Louis Riel School Division Arts & Technology Centre)Evergreen CollegeGeorgian CollegeInternational College of Manitoba (ICM)Lambton CollegeManitoba Institute of Trades and Technology (MITT)PACE at The University of WinnipegProvidence College UniversityRobertson CollegeSault CollegeSheridan CollegeSt. Lawrence CollegeSteinbach Bible College

When do you wish to begin? Students can begin classes any Monday*
*In some cases, Monday is a holiday and classes will start on the Tuesday

Please choose your start date: November 16, 2020

Please choose your start date: October 27, 2020November 24, 2020

Please Choose your start date:
Choose start date...Nov 30, 2020Dec 07, 2020Dec 14, 2020Dec 28, 2020Jan 04, 2021Jan 11, 2021Jan 18, 2021Jan 25, 2021Feb 01, 2021Feb 08, 2021Feb 16, 2021 (Tuesday)Feb 22, 2021Mar 01, 2021Mar 08, 2021Mar 15, 2021Mar 22, 2021Mar 29, 2021Apr 05, 2021Apr 12, 2021Apr 19, 2021Apr 26, 2021May 03, 2021May 10, 2021May 17, 2021May 25, 2021 (Tuesday)May 31, 2021Jun 07, 2021Jun 14, 2021Jun 21, 2021Jun 28, 2021Jul 05, 2021Jul 12, 2021Jul 19, 2021Jul 26, 2021Aug 03, 2021 (Tuesday)Aug 09, 2021Aug 16, 2021Aug 23, 2021Aug 30, 2021Sep 07, 2021 (Tuesday)Sep 13, 2021Sep 20, 2021Sep 27, 2021Oct 04, 2021Oct 12, 2021 (Tuesday)Oct 18, 2021Oct 25, 2021Nov 01, 2021Nov 08, 2021Nov 15, 2021Nov 22, 2021Nov 29, 2021

How many weeks will you study for? If you are applying to be a Pathway student, you must study for a minimum of 10 weeks.

How did you hear about Heartland?
--Please Select--InternetAgentFriendEducation Fair

If you are applying with an Agent, or you are an agent applying on behalf of a student, please provide the following information:
Agency Company:

Agent's full name:

Agent's email address:

Accommodation Information

Please choose your accommodation option:
--Please Select--HomestayResidenceI will make my own accommodation

Do you need airport pick-up?
(Airport pickup is free if staying in one of Heartland's homestays or residences.)
yesno

Flight Information:

Arrival date: (yyyy/mm/dd)

Arrival time:

Airline & Flight Number:

Do you have travel or study health/medical insurance?
yesno

If yes, please indicate:

Insurance Provider:

Policy # :

Date of Coverage:

If no, would you like to purchase health/medical insurance from Heartland? It is $2.25 per day.
yesno

Please review the above information is accurate and correct BEFORE clicking submit.

I confirm that the above information is correct and I understand that Heartland will use my information to contact me in the future.

FEES ARE SUBJECT TO CHANGE, UNLESS PAID IN ADVANCE. ALL FEES SHOULD BE PAID DIRECTLY TO THE SCHOOL. HEARTLAND INTERNATIONAL ENGLISH SCHOOL ASSUMES NO RESPONSIBILITY FOR MONEY PAID TO COMPANIES OR INDIVIDUALS CLAIMING TO REPRESENT THE SCHOOL.

- HEARTLAND INTERNATIONAL ENGLISH SCHOOL WILL NOT BE LIABLE IN ANY WAY TO THE STUDENT FOR LOSS, DAMAGE, OR INJURY TO PERSONS OR PROPERTY HOWSOEVER CAUSED.

- ALL FEES ARE IN CANADIAN DOLLARS.

I ACKNOWLEDGE THAT I AM FULLY RESPONSIBLE FOR MY OWN MEDICAL INSURANCE. I HAVE READ, UNDERSTOOD AND AGREE TO COMPLY WITH SCHOOL POLICY REGARDING TUITION FEES AND REFUNDS. IF I BECOME ILL OR INCAPACITATED, HEARTLAND INTERNATIONAL ENGLISH SCHOOL AND ITS EMPLOYEES MAY TAKE ANY REASONABLE ACTION THEY DEEM NECESSARY FOR MY OWN SAFETY AND WELL-BEING.