HeartLand | Mississauga Online Application

Thank you for applying to Heartland International English School.
Last (Family) Name:*
First Name:*
Email Address:*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone number
Date of Birth
Citizenship:
Emergency Contact Name:
Emergency Contact Telephone:

How did you hear about Heartland?
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:
If you previously studied at Heartland, please fill out the following information:
When did you start your studies previously?
How many weeks did you study for?
What level did you finish?
- I do not remember
- Entry
- Intermediate 1
- Intermediate 2
- Advanced 1
- Advanced 2

Current Visa Classification:
- Student
- Visitor
- Working
- Have not applied for a Visa yet
- Other

Please indicate if you will be studying online or in-person :
- Online
- In-Person
NOTE - Both Heartland locations are currently offering online classes and in-person classes.
Please choose your Heartland location*
Are you planning to study in a daytime or evening program?*
- Daytime
- Evening
Please select your Online Mississauga Daytime Program:
Please select your Online Mississauga Evening Program
CELPIP preparation classes are part-time, 6 hours per week on Tuesday and Thursdays.
Please select your In-Person Mississauga Daytime Program
Please select your In-person Mississauga Evening Program
CELPIP preparation classes are part-time, 6 hours per week on Tuesday and Thursdays.
Which Full-time course are you applying for?
Please select the College or University you are applying to:
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.
General Evening Mississauga Program:
CELPIP Evening Mississauga Program:
Please select a Heartland location in order to see the evening class options
Please select a Heartland location in order to see the evening class options
Please select a Heartland location in order to see the evening class options
Please select a Heartland location in order to see the evening class options
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.

Are you currently in Canada?
- Yes
- No, I will study online from my home country
- Not yet, I am planning to travel to Canada at a later time
When will you arrive in Canada?
Flight Information:
Arrival date:
Arrival Time (24 hour clock)

: Hours

Minutes
Airline & Flight Number:

Students travelling and staying in Canada require health/medical insurance. Visiting a doctor, getting medication or medical tests can be expensive for international visitors if they require medical services as they travel to and while they are in Canada. Mandatory Health Insurance (included in the package price) is provided by Guard.me Insurance which includes special COVID-19 coverage.
Students travelling and staying in Canada require health/medical insurance. Visiting a doctor, getting medication or medical tests can be expensive for international visitors if they require medical services as they travel to and while they are in Canada. Students can buy health/medical insurance through the provider of their choice including the provider that Heartland offers. guard.me Health Insurance is $2.25 CAD per day.
Would you like to purchase guard.me Health Insurance through Heartland?
Insurance Provider:
Policy Number:
Dates of Coverage:

MM/DD/YYYY - MM/DD/YYYY

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 $225 homestay/residence placement fee (if applicable) is required after the application is made in order to receive an acceptance letter. In cases where students are applying to study for more than 6 months (25 weeks) Heartland reserves the right to require a 12 week deposit in addition to the application fee before issuing any acceptance documents.
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

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