Canquest ESL & TOEFL Academy

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First Name:	*
Last Name	*
Gender
Date of Birth
Country of Origin	*
Occupation
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Email	*
Address in Canada
Address in your home country (Non-residents only)
Please answer the following questions.
1.Your present level of English		Absolute beginner Basic Intermediate Advanced
2. What is your purpose of taking an English class?		To improve my English To prepare for TOEIC To prepare for IELTS To prepare for LPI To prepare for TOEFL iBT To prepare for MELAB or The Michigan Test
3.Would you like a part-time class or a full-time class?		Part-time Full-time
4. Do you prefer morning classes or evening classes?		Morning Evening No difference
5. How did you hear about this school?		The Internet Newspaper Friends Yellow Pages or phone books
6. Why did you choose this school?		People’s recommendation Reasonable fees High quality of programs Closeness to home