Open Printable Form Download the printable form to email or fax us your application, or fill in the form below. Step 1 of 5 20% Gender*MaleFemaleFirst Name*Family Name*Birth Date* Date Format: MM slash DD slash YYYY Nationality*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Please choose a course*Practical English as a Second Language (ESL)Youth Programs and Camps for ages 8-18Adult CampsSpecial ProgramsOther ProgramsPractical English as a Second Language (ESL)*Full Time 25 hours per week 9am - 2:55pmExecutive Full Time 30 hours per week 9am-4pm (Includes 1 hour of private tutoring a day )Part Time 15 hours per week 9am- 12pmPart Time 10 hours per week 12:45pm-2:55pmPrivate TutoringI would like Private Tutoring in:* ESL IELTS Business English LPI Accent Reduction Youth Programs and Camps for ages 8-18*High School PathwaysHigh School ExperienceYouth Vacation Program (summer)Animal CampIce Hockey Skills CampSoccer Skills CampOutdoor Adventure CampArts Blast CampAdult Camps*Senior Program for ages 50+Executive TourESL + Hot YogaESL + Agriculture and Wine TourMoms/Dads and TotsSpecial Programs*FarmstayVolunteer PlacementsBartending CertificateTESOL CertificateOther Programs*If you plan on applying for multiple programs please provide details and start/end dates for each program.Program starting date* Date Format: MM slash DD slash YYYY Program ending date* Date Format: MM slash DD slash YYYY Type of VISA*TouristWorking HolidayOtherOther HomestayWould you like to apply for IGK Homestay?*YesNoCheck in date* Date Format: MM slash DD slash YYYY Check out date* Date Format: MM slash DD slash YYYY Do you smoke cigarettes or e-cigarettes?*YesNoDo you have any allergies or medical conditions?*YesNoPlease describe in detail.Do you need prescribed medicine for your allergies or medical conditions?*YesNoDo you smoke cigarettes or e-cigarettes?*YesNoPlease describe in detail.Are you a vegetarian or do you require a special diet? (add $100 per week)*YesNoPlease describe in detail.What are your hobbies / interests? Greeting & FarewellWould you like an Airport Greeting at Kelowna Airport (YLW)*YesNoDate Date Format: MM slash DD slash YYYY Time : HH MM Airline and Flight NumberWould you like an Airport Farewell at Kelowna Airport (YLW)YesNoDate Date Format: MM slash DD slash YYYY Time : HH MM Airline and Flight NumberWould you like a Pickup from Kelowna Greyhound Bus StationYesNoDate Date Format: MM slash DD slash YYYY Time : HH MM Would you like a Drop-off at Kelowna Greyhound Bus StationYesNoDate Date Format: MM slash DD slash YYYY Time : HH MM OtherDo you require Medical Insurance?*YesNoDo you require Guardianship?*YesNo(Mandatory for all unaccompanied students under 19 years) International Gateway Kelowna Refund Policy Applies to all full and part time ESL, Exam Preparation, Tutoring and Camp Programs. Before Program Begins: More than 30 days before the start of the program 75% refund Less than 30 days before the start of the program 60% refund If the visa is refused the student receives a full refund of tuition, material and homestay fees. IGK retains the application and homestay application fees for all students and the initial guardianship fee for minors. An official Visa refusal letter from the Canadian Embassy must be produced in order for students to obtain a refund. After Program Begins: Less than 6 days or 10% of the program duration, 50% refund Within 30% of program duration, 30% refund. After 30% of program duration, no refund. ** Applies to tuition and material fees. Homestay Program: Students must provide 2 weeks’ notice if they intend to leave their homestay. No homestay refund will be given if students do not provide notice. IGK is not responsible for any dispute that arises between the student and the homestay. Students are responsible to pay for any damage that they cause in the homestay. Students will be required to pay an additional $200CAD homestay placement fee to change host families without a valid reason. The final decision regarding homestay changes is up to the discretion of the IGK Homestay Coordinator. If the homestay was booked at discounted long term rates the highest homestay rate will be applied to any refund. Volunteer Placements: No refund once the placement is made and after students’ arrival. Farmstay: Before student arrives, full refund except placement fee of $250CAD No refund after arrival under any circumstance Other: If IGK closes a full or partial refund of all monies is provided. Any refunds are paid within 30 days of IGK receiving a written notice from the student. If a student is dismissed for disciplinary reasons there may or may not be a refund. This final decision is up to the discretion of the Director or the President. If IGK changes the date of a program or significantly alters the program content itself then a full or partial refund is available to the student at the Director’s discretion. Refund Procedure: Students must submit a completed “Application for Refund” form to the school office. The refund is usually sent to the booking agent unless prior arrangements are made.* I agree to the contents of this application form and have read the IGK refund policy.