APPLICATION FOR ADMISSION

2 PHOTOS (Enrollment Contract)

Vancouver English Centre
250 Smithe Street Vancouver, BC V6B 1E7 Canada
Tel: 1 604 687 1600 Fax: 1 604 687 1660 E-mail: info@vec.ca Homepage: www.vec.ca

1. PERSONAL INFORMATION 2. PROGRAMS 4. ARRIVAL INFORMATION

Please select ONE of the following: Do you need Airport Reception?
Where did you find out about VEC?

Student
Teacher
Super-Intensive (29 hours/week)
No I will make my own arrangements

Travel agent
Internet
Intensive (26 hours/week) and I will send VEC my flight details.

Education fair
Embassy
Mornings Only (15 hours/week)
Yes I need airport reception and

Yellow pages
VEC recruiter
Afternoons Only (15 hours/week) I will send VEC my flight details.

Afternoons Only (12 hours/week) ____________________________
Please write the name of the recruiter:

Cambridge Program ( FCE / CAE) AIRLINE FLIGHT NUMBER
____________________________
Vacation Study ____________________________

Ski/Snowboard + English ARRIVAL DATE ARRIVAL TIME
Please complete the following:
Summer Children’s Program ____________________________
_______________________________
Summer Youth Program CITY OF FLIGHT ORIGIN

First name
Unpaid Business Internship Program

____________________________
Family name
____________________________
Street address
____________________________
City
____________________________
State / province
____________________________ 3. PAYMENT INFORMATION
Please write down the fees you are sending with your
Country
____________________________
Postal / Zip code
____________________________
(Area code) Telephone number
____________________________
(Area code) Fax number
____________________________
E-mail address
____________________________
Native language
____________________________
Citizenship
____________________________
Passport number
Gender:
Female
Birth date:
Month ____ Day ____ Year ________
*Parents/Recruiters of students under 18
years old must apply and pay for
Custodianship Forms.
Custodianship required:

Yes
No
Medical Insurance:
(
Yes /
No ) if yes, ______ month(s)
My Level of English is:

Beginner

Intermediate

Advanced

Paid Business Internship (Vancouver) 5. ACCOMODATION INFORMATION

Paid Business Internship (Banff) Do you need homestay / residence?

TEFL

Private instruction
Yes________________
No
When do you wish to begin? For how long? __________ nights
Month_________ Day _______ Year ________ Date: From ________to _______
How long will you study? ______ weeks
[For Homestay]
Do you want a family with:
application: CDN-Canadian Dollar Value. Not
Yes No
Application Fee
$100 Important
Materials Fees
$50 Young children?



Tuition Fee ( # of weeks x fees per week) $
(under 11 years)
Older children?



Homestay or Residence Placement Fee
$175
(11 years and older)
Full-board Homestay Fee / night
$27 Another student?



Half-board Homestay Fee / night
$25 A dog?



Shared Full-board Homestay Fee / night
$23 A cat?



Shared Half-board Homestay Fee / night
$21
Do you smoke?
Yes
No
Student Residence, Shared room / night
$21
Student Residence, Private room / night
$27 Do you have medical problems or
Airport Pick-up Fee
$100 food requirements?

Do not eat pork
Vegetarian
Airport Drop-off Fee
$100

Allergies (please list)
Diabetic
Medical Insurance Fee / month
$60

Other _______________________

Male Custodianship Form - One (1) student
$75
______________________________
Custodianship Form – Two (2) students: $75
$75/30
for one and $30 for the second.
Activities I like:
Custodianship Form – Three (3) students:
$75/30/30
Art / crafts
cycling

$75 for one and $30 for each of the other two
dancing
hiking

Custodianship Form – Four (4) or more
$30 each
movies
music

students: $30 each ____ persons
roller blading
skating

Total Fees submitted: $
shopping, sightseeing
soccer

skiing/snow boarding
volleyball

Method of payment:

Bank Transfer (EFT)
Bank draft Others: ________________________

VISA
MasterCard

Amex
JCB
Discover
_______________________________Expiry Date________ All fees should be paid directly to the school.
CREDIT CARD NUMBER Vancouver English Centre assumes no
________________________________________ responsibility for money paid to companies
CARDHOLDER’S NAME claiming to represent the school. Vancouver
________________________________________ English Centre will not be liable in any way to
CARDHOLDER’S SIGNATURE the student for loss, damage, or injury to
Other Method of Payment:_____________ persons or property howsoever caused.
There is a 4% service charge for credit card refunds. There is a CAD$45
service charge for all wire transfer (bank transfer) and cheque refunds.

PLEASE CAREFULLY READ THE FOLLOWING: I acknowledge I am fully responsible for my own medical insurance. I have read, understood and agree to
comply with school policy regarding fees, refunds, attendance, dismissal, and dispute resolution, as explained in the Refund Policy and Other VEC Policies. If I
become ill or incapacitated, Vancouver English Centre and its employees may take any action they deem necessary for my own safety and well being. I shall
indemnify and hold harmless the Operator and any of its officers, employees, servants, agents and contractors from any and all loss, liability, claims or expenses. I
will obey the ENGLISH ONLY POLICY.

_________________________________ ___________________________________________________ _________________________________ _____________

11/19/2009
APPLICANT’S SIGNATURE PARENT’S SIGNATURE (IF APPLICANT IS UNDER 19 YEARS) VEC REPRESENTATIVE’S SIGNATURE DATE
 250 Smithe Street,
Vancouver, BC V6B 1E7 Canada
Fax: (1 – 604) 687 1660
E-mail: info@vec.ca
Internet: www.vec.ca

Vancouver English Centre

Mosaic Scholarship Application - 2010

Vancouver English Centre encourages students from all over the world to enjoy a cultural immersion experience
in Canada. Although we normally have students from up to 30 different countries, we constantly try to improve
the diversity of our student body. Consequently, we frequently offer scholarships to attract students from specific
countries.

A number of criteria are involved in the evaluation of target countries. Primarily, we offer scholarships to students
who could not otherwise study in Canada for financial reasons. We also try to attract academic achievers from a
number of language backgrounds.

Mosaic Scholarships are awarded on the basis of academic achievement and do not have to be repaid. For
programs beginning before May 1, 2011, the following 4-week Super-Intensive Scholarships are currently
available.

Application Deadline: November 30, 2010

NUMBER OF NUMBER OF
CITIZENSHIP CITIZENSHIP
SCHOLARSHIPS SCHOLARSHIPS
Three (3) Argentina Five (5) Malaysia
Three (3) Bolivia Ten (10) Mauritius
Three (1) Belgium Three (3) Namibia
Three (3) Botswana Three (3) Panama
Twenty Five (25) Canada (Quebec) Three (3) Papua New Guinea
Five (3) Denmark Three (3) Peru
Three (3) Ecuador Ten (10) Qatar
Three (3) El Salvador Ten (10) Slovak Republic
Five (5) Finland Three (3) Slovenia
Five (2) France Ten (10) Sweden
Three (3) Guatemala One (1) Thailand
Five (5) Indonesia Three (3) Uruguay
Five (5) Jordan Two (2) Venezuela
Three (3) Liechtenstein Three (3) Western Samoa

This scholarship includes the Application Fee, Materials Fee, and four weeks Super-Intensive Tuition.
Other services, such as Homestay, Medical Insurance and Airport Reception are not included.
All decisions by the VEC Scholarship Selection Committee are final.
Explanations are not provided and there is no appeal process.

To apply for a scholarship, please send the following to us by fax or mail:

1. Completed Application for Admission.
2. Completed Mosaic Scholarship Application.
3. Photocopies of transcripts from your last educational institution. Do not send original transcripts
 Mosaic Scholarship Application – 2010

250 Smithe Street, Tel.: 1) 604 687 1600 E-mail: info@vec.ca

Vancouver, BC V6B 1E7 Canada Fax: 1) 604 687 1660 Homepage: www.vec.ca

FIRST NAME(S) FAMILY NAME(S)

Please print clearly.

TELEPHONE FAX E-MAIL

CITIZENSHIP PASSPORT NUMBER

NAME AND ADDRESS OF YOUR LAST EDUCATIONAL INSTITUTION

TELEPHONE FAX E-MAIL

COUNSELOR OR ACADEMIC ADVISOR YOUR MAJOR

Note: When you complete this application it is important that you specifically address the criteria of the scholarship.
If the scholarship is based on financial need, briefly describe how you currently finance your education.

What do you plan to accomplish while you are at Vancouver English Centre?

What are your goals after you complete your program?

Describe your leadership qualities and/or participation in on-campus activities.

I authorize the release of the information from this application form to the Scholarship Selection
Committee and the Registrar.

Date Signature
Please submit this form with a completed Application for Admission and copies of your transcripts. Incomplete applications are destroyed.