Mississauga Online Application

Thank you for applying to Heartland International English School.
First Name:*
Last (Family) Name:*
Gender
Email Address:*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Telephone number*
Date of Birth*
Citizenship:*
Emergency Contact Name:*

First and Last Name
Relationship to the Student:*
Emergency Contact Telephone:*

When do you wish to begin your studies? Please choose a start date:
Start Date
Students can begin any Monday. If there is a holiday on a Monday and Heartland is closed, students will begin on the Tuesday.
Please select your Program*
How many weeks will you study for?
How many weeks will you study for?
How many weeks will you study for?
For your pathway program, you must study a minimum of 10 weeks. Once you know the college or university and program you would like to attend and after your placement test is completed you will know better how many weeks total you will require.
Please select the College or University you are applying to:

Please review the following summary of your application and make sure the information is accurate and correct BEFORE clicking submit.
All fees are in Canadian dollars.
Payment of the $125 Application Fee and $250 Homestay Placement Fee (if applicable) is required after the application is made in order to receive an Acceptance Letter. Both Application fee and Homestay Placement Fee are non-refundable.
New applications will be processed within 1-3 business days. Thank you for your continued patience.
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 however caused.
Information use consent*
I confirm that the summarized information is correct and I understand that Heartland will use my information to contact me in the future.
Medical Insurance Responsibility*
I acknowledge that I am fully responsible for my own medical insurance.
I acknowledge that I am fully responsible for my own medical insurance. 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.
Terms, Conditions and Policies*
I have read, understood and agree to the above listed terms and conditions of applying to Heartland
I have read, understood and agree to comply with school policies including the policy regarding tuition fees and refunds.
Please read through the Heartland Policies
Date*
MM slash DD slash YYYY
Name*
First Last

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Mississauga Online Application

Mississauga Online Application

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