Welcome to London Language Institute

Fun Stuff Graduates

Apply Summer Program

Apply for a Summer Program

First Name:

Last Name:

Gender:

Date of Birth: Month Day Year

Mailing address:

City:

Province/Postal Code:

Country:

Phone Number:

Fax Number:

E-mail Address:

Passport Number:

Please select desired program and start date:

If you are traveling with a friend or relative, and would like to reside in the same homestay, please tell us this person's name:

Do you smoke?

Do you have any allergies?

If yes, please explain:

If you would like to provide us with other information, please use the space below:

I will be paying the $100.00 non-refundable application deposit by:

Payment Method
Credit Card
If you have selected to pay by credit card, please complete the online credit card payment information below. We accepts only MasterCard or Visa credit cards.

Bank Transfer(Wire Transfer)
How to make your payments by bank transfer (wire):

To make the bank transfer (wire) payment you will be given specific instructions after you have completed this application. Upon completing this bank transfer the funds will be credited to your student account at London Institute Language
Credit Card Number

Credit Card Expiry
Month Year

If you do not wish to pay with credit card at this time, please leave the section blank and click "Submit". An LLI representative will contact you regarding your application and payment options.

After completing the above information, please press the "Submit now!" button. London Language Institute will be in contact with you within 3 business days.