5-Week English Language Summer School

Program Application

Before filling out this form, please take some time to familiarize yourself with the admission requirements, refund policies and other associated program information on our program information page.

Name

Family Name
Given Name

Address:

Street
City
Province/State
Country
Postal Code / ZIP

Contact Information

Phone
Fax
Email

Personal Info

Sex	Male Female
Date of Birth	Day Month Year
Country of Birth
Nationality / Citizenship

Education / Work

Are you also applying for Provisional Admission to a degree program at Memorial University?	Yes No
Last year of education completed
Field of study
Occupation
If you are planning future studies, please specify the field
Previous studies in English (type and duration)
Result of English tests such as TOEFL, IELTS or other if available
Estimate of English level

Program Semester

Semester

Agency Contact Information (if applicable)

Agency Name
Agency Address
Contact Person

Application Fees

5-Week English Language Summer School. Program fees of $2,200 CAD include tuition, accommodations, and most excursions. Students will live in apartment-style dormitories and buy their own food. Application fee is non-refundable.

Please forward $150 CAD application fee
Fees should be made payable to "ESL Programs, Memorial University"

Acceptable methods of payment:

Certified Cheque ( from a Canadian banking institution only)

Wire Transfer
Credit Card

If forwarding fees by regular mail, please send to

ESL Programs
Sp3019 Spencer Hall
Memorial University
St. John's, NL
Canada
A1C 5S7

For Wire Transfer or Credit Card payments, please e-mail us for instructions. It is possible to fax credit card payments to (709) 864-8282. Do not send credit card numbers via email - it is not secure.

Important - Please Read

By submitting this form I agree that I have read and understood the refund policy and admissions requirements on this website.

For further information please contact:

Director
English as a Second Language Programs
Memorial University of Newfoundland
St. John's, NL
Canada
A1C 5S7

Fax: (709) 864-8282
Phone: (709) 864-7681
Email: esl@mun.ca