Location

Personal Information

First Name

Last Name

Gender

Nationality

Address 1

Address 2

City

Country

Phone

Email

Emergency contact Number

Emergency Contact Phone number

Date Of Birth

Program Information

Program Type

Program

Accommodation Details (Vancouver)

Do you need help with accommodation?

What type of accommodation would you like?

First day of accommodation:

Last day of accommodation:

Do you have any special dietary requirements? (Yes/No)

Do you have any allergies? (Yes/No)

Do you smoke? (Yes/No)

Do you have any medical conditions that would affect your accommodation? (Yes/No)

Please choose which option you are interested in. IH will reach out to you with further details and to confirm availability and pricing.

Personal Information

Program Type

I want to start my studies on:

I want to finish my studies on:

Do you have any special dietary requirements?

Do you have any allergies?

Do you have any medical conditions that would affect your accommodation?

Extra Services

What is your flight number?

What is the date and time of your arrival

Would you like to purchase medical insurance from us? (Yes/No)

What is the first day you need for medical insurance?

What is the last day you need medical insurance?

How did you find out about the IH Vancouver/Algoma University Program?

Do you have any questions for us?