8-Week Accelerated English Language Program registration form

For July 2018

  • Important:
    Please review and complete this section before you begin.

  • Are you planning on studying Undergraduate studies at Brock University in September 2018? * Required
  • Are you planning on studying ESL ONLY at Brock University? * Required
  • Have you submitted an application to an undergraduate program for September 2018? * Required
  • Have you received a conditional offer of admission from Brock University? * Required
  • Do you need homestay accommodation during this program? * Required
  • Have you submitted an IELTS score of 6.0, TOEFL score of 60-78 (or equivalent)? * Required
  • Personal information

  • Name * Required
  • Gender (optional)
  • Address * Required
  • Email * Required
  • Alternative Email
  • If applicable.
  • Print name.
  • Required * Required
  • Required * Required