Visa Type

CountryCity

PhoneName Relationship

Program Information

Accommodation Information

Flight Information

E-mail: esl@csli.com or Fax:

250

Payment Information

Agency Contact Name

Agent Information

Student Information

Diploma Program

Homestay start date

Please attach a copy of the applicant’s passport

Please make sure all �elds with * are �lled in with correct information

**

*

*

Homestay end dateHomestay preferences:

You may also register online : www.csli.com/application

If Yes, please specify

Insurance Information

2015

home /

ConversationCourse Focus:

Please note: Except for Practical Conversation English, acceptance into other courses will depend on your assessed level of English and availability.

Cell /

: _________ hours

Others ( ____________________________________________________________)

Note

a

150

Your application cannot be processed until registration fee and accommodation placement fee (if applicable) are received. Full fees must be paid 30 days before classes begin, or your program may be cancelled. Registration fee and accommodation placement fee are non- refundable. A service fee will be charged based on the current market rate and destination if the Letter of Acceptance is requested to be sent by Courier.

Registration & accommodation placement fees are required to be paid before your application is processed. All fees are due 30 days before your start date or your program may be cancelled.Please let us know once payment is complete. Payments may be made by:

2015 2016

1 ~ 7 weeks 8 ~ 11 weeks12 ~15 weeks16 ~19 weeks20 ~23 weeks24 ~52 weeks

Full-time $355 / week Part-time $240 / weekFull-time $345 / week Part-time $230 / weekFull-time $318 / week Part-time $212 / weekFull-time $312 / week Part-time $208 / weekFull-time $302 / week Part-time $202 / weekFull-time $265 / week Part-time $180 / week

Full-time fees apply if you combine two part-time courses to be a full-time program.For CSLI courses offered, please check our website: www.csli.com/courses

Study plan service is included in programs of 24 weeks or more

- STUDY -

2015 FEES (CANADIAN DOLLARS)

PAYMENT

Registration Fee: $150 Special Program Fees: Cambridge Exam Preparation: Combine part-time program + Private lessonsPrivate Lessons: $70 / hour or $600 / 10 hoursCSLI Golden Experience, Corporate Program and customized programs : Please contact CSLI for program dates and rates.

-ACCOMMODATION - Homestay: $250 placement fee $215/week $ 35/extra nightHostel / Hotel /Apartment rental: $250 placement fee. For seasonal rates on Hostel / Hotel /Apartment, please contact us directly.Airport Transfer Fee: $100 /each way

* The fees above are for programs starting in 2015.For a complete price list, please visit our website: www.csli.com/price

Bank Transfer:Please contact CSLI for our bank information: esl@csli.com *Please add CDN $20 to your payment for bank charges.*Fax or e-mail verification of payments made by bank transfer.

Cash or Travellers Cheques:US Funds are accepted at the daily rate of exchangeCanadian personal cheques will be accepted at CSLI's discretion. Make cheques payable to: CSLI Inc. Money Order/Bank Cheque:

Send by registered mail or courier to: CSLI Inc. 188 Nelson Street , Vancouver, BC, Canada V6B 6J8Online Payment: available at www.csli.com/registration/

Credit Card: Visa /MasterCard/ American ExpressPlease provide the name of the cardholder, card number, expiry date, and cardholder's signature. All payments by credit card need to be accompanied by a photocopy of the front and back of the credit card. The cardholder's signature on the credit card and the application form must match.

Tuition Fees:Full-time Program (30hrs/wk) and Part-time Program (15hrs/wk) All courses offered at CSLI are the same price calculated by week:

Jun 2015S M T W T F S

14 15 16 17 18 19 207 8 9 10 11 12 13

1 2 3 4 5 6

21 22 23 24 25 26 27 28 29 30

Dec 2015S M T W T F S

6 7 8 9 10 11 1213 14 15 16 17 18 19

27 28 29 30 31

1 2 3 4 5

Christmas Day

20 21 22 23 24 25 26

May 2015

Victoria Day

S M T W T F S1 2

3 4 5 6 7 8 9

24 25 26 27 28 29 3031

10 11 12 13 14 15 1617 18 19 20 21 22 23

Nov 2015S M T W T F S

15 16 17 18 19 20 21

29 30

1 2 3 4 5 6 7

22 23 24 25 26 27 28

Remembrance Day

8 9 10 11 12 13 14

Apr 2015S M T W T F S

12 13 14 15 16 17 18

26 27 28 29 3019 20 21 22 23 24 25

Easter Holidays

1 2 3 45 6 7 8 9 10 11

Oct 2015S M T W T F S

1 2 34 5 6 7 8 9 10

18 19 20 21 22 23 2425 26 27 28 29 30 31

Thanksgiving Day

11 12 13 14 15 16 17

Sep 2015S M T W T F S

1 2 3 4 5

13 14 15 16 17 18 19

27 28 29 3020 21 22 23 24 25 26

Labour Day

6 7 8 9 10 11 12

Mar 2015S M T W T F S

8 9 10 11 12 13 1415 16 17 18 19 20 21

29 30 3122 23 24 25 26 27 28

Professional Development Day

1 2 3 4 5 6 7

Aug 2015S M T W T F S

1

9 10 11 12 13 14 1516 17 18 19 20 21 2223 24 25 26 27 28 2930 31 BC Day

2 3 4 5 6 7 8

Feb 2015S M T W T F S

15 16 17 18 19 20 21

1 2 3 4 5 6 7

22 23 24 25 26 27 28

Family Day

8 9 10 11 12 13 14

Jul 2015S M T W T F S

12 13 14 15 16 17 18

26 27 28 29 30 31

5 6 7 8 9 10 11

19 20 21 22 23 24 25

Canada Day

1 2 3 4

Jan 2015S M T W T F S

4 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30 31

New Year’s Day

1 2 3

Aug 2016

BC Day

Jun 2016

S M T W T F S

8 9 10 11 12 13 1415 16 17 18 19 20 21

29 30 31

1 2 3 4 5 6 7

22 23 24 25 26 27 28

Nov 2016

Remembrance Day

Sep 2016

Labour Day

Jan 2016

New Year’s Day

S M T W T F S1 2 3 4

12 13 14 15 16 17 18

26 27 28 29 30

5 6 7 8 9 10 11

19 20 21 22 23 24 25

Feb 2016

Family Day

S M T W T F S1

2 3 4 5 6 7 89 10 11 12 13 14 1516 17 18 19 20 21 2223 24 25 26 27 28 2930 31

Mar 2016

Professional Development Day

Apr 2016

Easter Holidays

S M T W T F S1 2 3 4 5

6 7 8 9 10 11 1213 14 15 16 17 18 19

27 28 29 3020 21 22 23 24 25 26

May 2016

Victoria Day

S M T W T F S1 2 3

4 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30 31

Jul 2016

Canada Day

Oct 2016

Thanksgiving Day

Dec 2016

Christmas Holiday

S M T W T F S

14 15 16 17 18 19 207 8 9 10 11 12 13

1 2 3 4 5 6

21 22 23 24 25 26 2728 29 30 31

S M T W T F S

14 15 16 17 18 19 207 8 9 10 11 12 13

1 2 3 4 5 6

21 22 23 24 25 26 2728 29

S M T W T F S

3 4 5 6 7 8 9

24 25 26 27 28 29 3031

10 11 12 13 14 15 1617 18 19 20 21 22 23

1 2

S M T W T F S1 2

3 4 5 6 7 8 9

24 25 26 27 28 29 3031

10 11 12 13 14 15 1617 18 19 20 21 22 23

S M T W T F S1 2

3 4 5 6 7 8 9

24 25 26 27 28 29 30

10 11 12 13 14 15 1617 18 19 20 21 22 23

S M T W T F S1 2 3 4 5

6 7 8 9 10 11 1213 14 15 16 17 18 19

27 28 29 30 30 3120 21 22 23 24 25 26

S M T W T F S1 2 3

4 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30

SELECTING YOUR PROGRAM

REGISTRATION

Full-time Program (30 hours/week):Full-time students can take Practical Conversation English full-time or choose two courses, one in the morning and one in the afternoon, to focus on the skills they would like to improve. On Fridays, full-time students can take two half-day activities or one full-day activity as part of their program.

Part-time Program (15 hours/week):Part-time students can take one course in the morning or afternoon.On Fridays, part-time students can participate in one half-day or full-day activity as part of their program.

*The Friday schedule varies depending on the options students choose. Academic class options are available from 9am to 12 noon and 12:30pm to 3:30pm.

Making your study plan:Practical English is available in 10 levels, from Beginner to Advanced.Because we will assess your English level when you arrive, it is not always necessary to select your optional courses beforehand.However, we do need to know on your application if you plan to study full-time or part-time. We recommend all beginner and short-term students select our full-time Practical English course. Acceptance into any course will depend on availability and your assessed English level.

Visa requirements:Ask at the nearest Canadian embassy or consulate to make sure you have enough time to get the proper documents. If you want to study for longer than six months, you must have a student visa before arriving in Canada. If you plan to visit the USA, check with the US embassy or consulate in your country regarding visas. It is recommended that you get your US visa before you arrive in Canada.

School Requirements: Applicants must meet the following requirements: * Be 17 years old by the first day of class * Meet Canadian visa requirements * Have medical insurancePlease arrange your insurance before leaving your country. CSLI can offer you comprehensive medical protection for $2.50/day.

Registration Procedures: 1. Read and understand CSLI’s terms and conditions.2. Send your completed application along with your registration & homestay placement fees.3. CSLI will send you a Letter of Acceptance and a receipt for your payment. You will also receive confirmation of your homestay or accommodation, if applicable.4. If you require a student visa, apply at the nearest Canadian embassy or consulate. 5. Once you receive your visa, or 30 days before starting classes, you are required to pay your fees.6. If you have requested a CSLI accommodation and airport pick-up, please confirm your arrival plans with CSLI a minimum of 2 weeks in advance to guarantee your pick-up.7. You will receive your information package about CSLI and Vancouver on your first day of school.

- REQUIREMENTS -

All students must: * Speak English at all times while at CSLI * Arrive on time for all classes and activities * Complete class and homework assignments * Act responsibly * Be focused (no cell phones in class) * Have Medical Insurance * Relax and have fun!

Failure to comply with these rules may lead to suspension and even dismissal

We are looking forward to welcoming you to our CSLI family!Get lots of sleep and allow plenty of time as this is a big day for you.What to bring on your first day: * A copy of your medical insurance * Contact information (address and phone number) in Vancouver * A map with directions to CSLI and your homestay or accommodation.

07:30am-08:00am Arrive at CSLI. We will welcome you at the front desk.08:00am-09:00am Registration and English Assessment Test. Student ID Card - We will take your photo for your student ID card School Tour - a host student will give you a tour of the school 09:00am-12:00pm Morning class12:10pm-01:00pm Orientation meeting and Lunch time01:00pm-04:00pm Afternoon class (Full-time student and Afternoon Part-time student only)

- CLASS SCHEDULE -

Full-time MorningPart-time

AfternoonPart-timeHours

09:00 - 10:30

10:30 - 10:50

10:50 - 12:00

12:00 - 01:00

01:00 - 02:30

02:30 - 03:00

03:00 - 04:00

Lunch time

Class

Class

Social time

Class

Class

Social time

Class

Class

Class

Class

Social time

Social time

STUDENT RESPONSIBILITY FIRST DAY SCHEDULE

Program Change Policy

Homestay Policy

Homestay Disclaimer

Activity Waiver

Students are expected to act responsibly and respectfully toward their homestay family and their property. Snacks, maid service, and extra events are not included. CSLI attempts to ensure that there are no other students who speak the same native language as you at your homestay. Students are required to provide their own insurance and are responsible for their own health and property. CSLI in no way accepts responsibility or liability for damage, loss, or injury that occurs to the student or homestay as a result of either the student or the homestay family. Each family has its own house rules regarding smoking, alcohol consumption, responsibilities, cleaning, security, noise, friends visiting, telephone use, meal times, etc. Discuss these with your family. Most Canadian families do not allow smoking in their homes but some will allow it outside the house. Please inform us if you smoke, and check your booking before arriving. All comments regarding your homestay should be relayed to CSLI through our homestay survey. Students will be relocated when complaints are justifiable.

30 days' notice must be given in writing for changes requested to this study agreement.All requests are subject to a directors’ approval and any changes to study programs require a $200 administration fee.

CSLI is currently placing students with host families through Quality Homestay Ltd.This homestay disclaimer applies to all participants in this homestay program, including hosts, applicants, affiliates, students, and clients. I/We have read and understood the conditions and guidelines outlined in the CSLI website and on the applications.

I/We understand that CSLI, including all company services, executives, employees and websites, are acting as independent agents who are not guaranteeing the quality of the relationship between the homestay student and the host family.

I/We understand and assume any and all risks related to my participation in this program, and I /We agree to release and hold harmless CSLI and each of their respective employees, agents, and representatives from any and all liability of claims should any injury, loss, or damage occur during this homestay or any other service offered.

I /We understand that if I /we participate in this program that I/we will purchase my own insurance whether medical, emergency, liability, damage, home, vehicle and/or any other types of insurance which may be necessary, should any claims, damages, or penalties arise. * Contact your insurance broker, travel agent, or insurance provider for more details.

I/We understand that CSLI does not assume any responsibility for any injuries, losses, damages, problems, or accidents that might occur during the time in homestay or program. I/We further understand that any actions that take place among the homestay family and student are not sanctioned by CSLI, nor do I hold CSLI responsible for any reason.

All activities and events at CSLI are optional. As a condition of involvement in all activities at CSLI Inc., I assume all risk of personal injury, death, or property loss resulting from any cause whatsoever, including but not limited to the inherent risks of these activities, use of equipment, collision with man-made or natural objects or other students, travel within or beyond designated boundaries, or negligence, breach of contract, or breach of statutory duty of care on part of CSLI Inc. and its employees, directors and agents. I agree that CSLI Inc. and its employees, directors, and agents shall not be liable for any such personal injury, death, or property loss and release CSLI Inc. and its employees, directors, and agents and waive all claims and respects thereto. This includes all transportation to and from these activities arranged by CSLI Inc. and its employees, directors, and agents.This means that you are fully responsible for anything that happens to you during activities organized by CSLI Inc. You do not have to do any activity you do not want to. It is your responsibility to ensure you have adequate insurance coverage.

CSLI Inc. is accredited by Languages Canada and Education Quality Assurance, and is a member of Tourism Vancouver. Its policies and procedures are in accordance with government regulation. In the case of unresolved disputes, Languages Canada can be consulted as an independent third party for resolution.

Exclusion of Liability - Assumption of Risk

Homestays are available for the time of study only. Changes to homestay bookings require 30 days’ notice to allow homestay families and CSLI to adequately prepare for students' needs. A $200 administration fee applies for any changes with less than 30 days' notice. There is great demand for these quality homestays and priority is given to current and new students before past students may request an extension of their stay. All changes must be made and confirmed with CSLI to allow for coordination of future bookings. Students are asked to make other accommodation arrangements after they have completed their last month of study. CSLI cannot guarantee a suitable homestay if bookings are not made 30 days in advance of arrival, although attempts will be made to satisfy requests. Airport pick-ups are not guaranteed if notification of confirmed flight plans is not received at least two weeks prior to arrival and/or if conditions of the Student Confirmation are not met. Full payment is required 30 days in advance to guarantee selected homestays. Any concerns can be dealt with immediately by contacting the CSLI Homestay department.

TERMS & CONDITIONS

REFUND POLICY

AIRPORT TRANSFER REFUND POLICYOnce payment is received, a fee of $25 will be charged for cancellation of each one-way airport transfer. Cancellation request must be given in writing more than 1 business day before the scheduled transfer service to be eligible for a refund.

HOMESTAY AND ACCOMMODATION REFUND POLICYThe Accommodation Placement fee is non refundable. 30 days' written notice must be given to change, extend, or cancel homestay accommodation without penalty.If 16-29 days notice is given, a cancellation fee of $200 will be charged. If less than 16 days notice is given, there will be a cancellation fee of $200 and 2 weeks of the homestay fee will be withheld from refund. Disputes should be put in writing and addressed to the Director of CSLI. CSLI is accredited by Languages Canada and its policies are in accordance with government regulations. In the case of unresolved disputes, Languages Canada can be consulted as an independent third party for resolution.

FEESThe Registration Fee and Accommodation Placement Fee are non-refundable. Refunds are based on net funds received by CSLI.Refunds are calculated according to the time of withdrawal with written notice, not according to the time of notice. Refunds are calculated by week, not by day and are based on the amount received by CSLI. All refunds are issued within 14 days of receiving written notice of withdrawal or change. All requests for refunds must be received by CSLI in writing, dated and signed by the student requesting the refund. Disputes regarding refund policy must be received in writing, addressed to the Director of CSLI, within 14 days of receipt of refund from CSLI. A response can be expected from CSLI within 7 working days.

TUITION REFUND : Refunds are based on net funds received by CSLI. Before program start:- Withdrawal less than 7 calendar days after contract made: Full tuition refund minus $400 or 25% of tuition, whichever is less- Withdrawal 30 calendar days or more before original start date: 75% refund - Withdrawal less than 30 calendar days before original start date: 60% refund

After program start:- Withdrawal or dismissal within the first 10% of program: 50% refund - Withdrawal or dismissal between 10% and before 30% of program completed : 30% refund - Withdrawal or dismissal after 30% of program completed : no refund

Declined visa: In situations when the visa is declined, CSLI will give a full refund less the registration fee, accommodation placement fee, and all bank transfer charges as long as CSLI is notified in writing more than 14 days before the program start date that the student's visa was denied. A copy of the denial letter from the Canadian Embassy must be provided to CSLI at that time. If CSLI is notified less than 14 days before the program start date about visa denial, a $200 administration fee on top of the registration fee, accommodation placement fee, and bank transfer charges, is withheld from the refund.

* Customized Programs, Group Programs and Packages follow different refund policies, please contact CSLI for more information.