START YOUR ADVENTURE AT CAMBER COLLEGE Use this on-line enrolment form Name and Surname ( as it appears on Passport ) Passport Number Passport Expiry Date Email ( please, enter a valid email address ) Gender FemaleMale Date of Birth Country of Citizenship ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArctic OceanArubaAshmore and Cartier IslandsAtlantic OceanAustraliaAustriaAzerbaijanBahamasBahrainBaker IslandBangladeshBarbadosBassas da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos IslandsColombiaComorosCook IslandsCoral Sea IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDemocratic Republic of the CongoDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHowland IslandHungaryIcelandIndiaIndian OceanIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan de Nova IslandKazakhstanKenyaKingman ReefKiribatiKerguelen ArchipelagoKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth SeaNorthern Mariana IslandsNorwayOmanPacific OceanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRepublic of the CongoRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUSAUruguayUzbekistanVanuatuVenezuelaViet NamVirgin IslandsWake IslandWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabwe Current Mailing Address City / Country* Street Address* Zip Code * Phone Number* Are You Using An Agent? yesno If using an Agent, what is the Agency Name? Course Starting Date How long do you wish to study? 2 Weeks3 Weeks4 Weeks5 Weeks6 Weeks7 Weeks8 Weeks9 Weeks10 Weeks11 Weeks12 Weeks13 Weeks14 Weeks15 Weeks16 Weeks17 Weeks18 Weeks19 Weeks20 Weeks21 Weeks22 Weeks23 Weeks24 Weeks25 Weeks26 Weeks27 Weeks28 Weeks29 Weeks30 Weeks31 Weeks32 Weeks33 Weeks34 Weeks35 Weeks36 Weeks37 Weeks38 Weeks39 Weeks40 Weeks41 Weeks42 Weeks43 Weeks44 Weeks45 Weeks46 Weeks47 Weeks48 Weeks49 Weeks50 Weeks51 Weeks52 Weeks52 Weeks + Course Type Intensive English ProgramGeneral English ProgramThe Family Plus ProgramEnglish Plus ProgramBusiness English ProgramAcademic English ProgramUniversity PathwayHigh School PathwaySummer CampsWinter CampsExam Preparation: TOEFL & IELTS What is your language level? BeginnerElementaryPre-IntermediateIntermediateUpper intermediateAdvancedProficient Do You Need Medical Insurance? yesno All students must have medical insurance on their first day. Do you require accommodation -Homestay Program? yesno All homestays must start and end on Saturday or an Extra Night fee will be charged. The minimum stay in homestay is 2 weeks. You can extend your homestay at Camber College. Do you have any existing medical conditions/allergies? yesno If yes, please specify Do you wish us to arrange your arrival or round-trip transfer? yesno How did you hear about Camber College? GoogleFacebooktwitterYouTubeWebsiteFriend/ FamilyFormer StudentAgent To pay your Registration Fees, Tuition and Homestay Fees, you can send money by wire transfer to the following bank account: Camber College -- Bank Details: The Bank of Nova Scotia 7030 Alberni Street Powell River, British Columbia Canada, V8A 2C3 Account Number: 0026719 Transit Number: 01230-002 Routing Number: 000201230 -- We only accept Canadian dollar payments. When sending payment by wire transfer, we ask that you please email us a copy of the wire transfer receipt. Upon receipt of your payment, we will issue you a Letter of Acceptance for your visa. Please note, that homestay accommodation cannot be sent until your visa has been approved and full payment is made. Do you know someone interested in a language course abroad? I confirm that I have read the full Camber College Policy Terms and Conditions.
