TESL Program Student Contract / Registration Form  
To register for VIA TESL programs, please use the online registration form below.
Or you can download the Word file from the link below and fax or mail it to us.
If you would like to send us a copy by fax or post, please send the copy of the form to:
VIA Training Centre
654 Yates St.
Victoria, BC, Canada, V8W 1L3

Email: info@eslschoolcanada.com  
Tel: 1-250-414-0111
    FAX: 1-250-414-0103   

  To Download TESL Application Form (Word File), please click here.    

Full-time and Online TESL Program Registration

 

Student Information     

Given Name                          

Family Name

Title

Mr.    Mrs.    Ms.                                        

Dateof Birth

day   month   year     

Mailling Address

Country

Postal Code

Telephone

Fax

Email

                             

Email Confirm

Emergency Contact Name  

Telephone

Residential Address

    

International Student

Yes             No

If Yes, please state Visa status

Disability

Yes             No

If Yes, please state details

Program Information 
(Choose One)      

Program Title:
VIA TESL Diploma Program Full Time 

Program Title:
VIA TESL Diploma Program Online

Please choose the TESL Program schedule                 

Start Date:  day   month    year 

               

Expected End Date:  day   month    year 

Program Duration:120 hours
(100 classroom hours, 20 practicum hours) 

Program Duration:
self-paced, one year completion deadline

Program Credential: Diploma     

Registration Fee(Domestic Student): $125.00

Registration Fee(International Student):$200.00 

Registration Fee: $250.00 (Non- refundable)   

Material Fee: $ 90.00     

Full time Program Tuition

$1095.00

Online Program Tuition

Course 1-10:$995.00
($99.50 x 10 Courses)
Total tuition =  $995.00 Practicum:$300.00

Archiving Fee: $3.50     

Archiving Fee: $3.50

  

Total for Domestic Student: $1313.50

Total for International Student: $1388.50 

         Total: $1638.50 

Payment Information     

Payment Schedule: Yes    No     

Full Time Payment Due Date

Amount

Online Payment Due Date

Amount

Payment1: 
(required for registration)        

$125.00
$200.00 for International Students

Payment1:
(Registration, Student Archiving Fee, Material fee and Tuition:Course 1-10)

$1338.50

Payment 2:
(Two weeks before program start)

$1188.50

Payment2:                
(Practicum)

$300.00

 

 

 

 

Total:

$1313.50

$1388.50 for International Students

Total:

$1638.50

Method of Payment:     

Note: 

Invoice Request      

To get an invoice by e-mail to assist paying your tuition by credit card using PayPal.                                              

 

Prior to signing this contract, the student has been given a copy of, and has had the opportunity to review the following:

 

Admission Policy

Attendance Policy

Withdrawal / Dismissal Policy

Graduation

Student Conduct Code

Student Handbook

Program / Course Outline  

List of required Materials   

Dispute Resolution Policy

 

Release of Personal Information

  • The personal information on this form consisting of the student name, date of birth, gender, and postal code of the last known permanent address may be used to verify or assign a British Columbia Personal Education Number (PEN) to students.  The main use of the PEN is to measure participation of the population in the post-secondary sector and for program research or evaluation.  
  • Other uses of personal information may include purposes of identification, statistical reporting, investigating student complaints, determining tuition refund entitlements, measuring program performance, or other requirements.  For research purposes, any information disclosed will be in a non-identifiable form. 
  • In accordance with Part 4(10)(1)(a) of the Personal Information Protection Act, we hereby notify you that your name and personal identification information, the name of your program of study, and the amount of the tuition paid will be forwarded to the Private Career Training Institutions Agency for the purpose of administering the Student Training Completion Fund.  This information is collected by the PCTIA under section 26 of the Freedom of Information and Protection of Privacy Act.  

We also advise you that upon completion of your program of study or other termination from the program, your academic record consisting of your copies of transcript and diploma if issued, and this contract, will be stored for the purpose of maintaining an academic record archive on an electronic system as per the requirements of the PCTIA Bylaws.

Refund Policy:
The following refund policy applies to the terms of this enrolment contract:

Refunds in Cases of Withdrawal or Dismissal

1. Written Notice
a) To initiate a refund, written notice must be provided:
1. By a student to the institution when the student withdraws, or
2. By the institution to the student where the institution dismisses a student.

2. Refund Entitlement
a) Refund entitlement is calculated on the total fees due under the contract, less the applicable non-refundable application or registration fee. Where total fees have not yet been collected, the institution is not responsible for refunding more than has been collected to date and a student may be required to make up for monies due under the contract.

3. Refund policy for students:

a) Refunds before the program of study begins:
1. If written notice of withdrawal is received by the institution less than seven (7) calendar days after the contract is made, and before the commencement of the period of instruction specified in the contract, the institution may retain the lesser of 10% of the total fees due under the contract or $100.

2. Subject to subsection (a) (i), if written notice of withdrawal is received by the institution thirty (30) calendar days or more before the commencement of the period of instruction specified in the contract, the institution may retain the lesser of 10% of the total fees due under the contract, or $500.

3. Subject to subsection (a) (i), if written notice of withdrawal is received by the institution less than thirty (30) calendar days before the commencement of the period of instruction specified in the contract, the institution may retain the lesser of 20% of the total fees due under the contract, or $1000.

b) Refunds after the program of study starts:
1. If written notice of withdrawal is received by the institution, or a student is dismissed, within 10% of the period of instruction specified in the contract, the institution may retain 30% of the total fees due under the contract.

2. If written notice of withdrawal is received by the institution, or a student is dismissed, after 10% and before 30% of the period of instruction specified in the contract, the institution may retain 50% of the total fees due under the contract.

3. If a student withdraws or is dismissed after 30% of the period of instruction specified in the contract, no refund is required.

4. Other Refund Policy Requirements
a) Where a student is deemed not to have met the institutional and/or program specific minimum requirements for admission, the institution must refund all fees paid under the contract, less the applicable non-refundable application or registration fee.

b) Where an institution provides technical equipment to a student, without cost to the student, and the student withdraws or is dismissed, the institution may charge the student for the equipment or use of the equipment on a cost recovery basis, unless the student returns the equipment unopened or as issued within fourteen (14) calendar days.

c) Refunds owing to students must be paid within thirty (30) calendar days of the institution receiving written notification of withdrawal and all required supporting documentation, or within thirty (30) calendar days of an institution’s written notice of dismissal.

d) Where the delivery of the program of study is through home study or distance education, refunds must be based on the percent of the program of study completed at the rates specific to Part IV I. 4 of the PCTIA Bylaws.

 

I agree

A typed name is a legal equivalent to a signature.