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Enroll now!

Please complete our registration form and provide us with as much information as possible. The symbol * indicates required fields. Thank you.

We always send personalized answers. We will get back to you within 24 hours. On weekends you have to wait until the next business day.


Section 1 - Personal Information (as written in your passport)
* Male Female
 
Section 2 - Program information
Perfect beginner False Beginner Pre-Intermediate
Intermediate High Intermediate Advanced
(20 hours/week in group course)
Number of hours/week  
(Français intensif + Français individuel)
   Number of hours in private class/week
Work School Personal Interest Examination Other
Section 3 - Lodging Information
Host Family        Hotel        Bed & Breakfast        Other
YES NO  
YES NO      If yes, please specify:
       I will need a parking space
Section 4 - Airport Information
YES NO
YES NO
Section 5 - Required Information
I request the web link for the medical insurance plan provided by ÉQM
I will provide proof of my medical insurance before I am admitted to my first ÉQM class
* Name of contact person in case of emergency
* Relationship to this person
* Phone number
I have read and agree with the Terms, Conditions and Policies of École Québec Monde.
Section 6 – Important Additonal Information
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