York University English Language Institute (YUELI)

York University English Language Institute (YUELI) YUBridge Program Application Kit 2012/2013 1. How to Apply to 2012/2013 YUBridge Program ------------- Page 2 2. Accommodation Options and Information--------------------- Page 4 3. How to Submit Your Tuition Fee to YUELI ---------------------- Page 5 4. Transfer and Cancellation Policy --------------------------------- Page 6 Appendix A. YUBridge Program Registration Form ----------- Page 7 Appendix B. Accommodation Request Form--------------------- Page 9 Appendix C. Credit Card Authorization Form ------------------- Page 12 York University English Language Institute (YUELI) 035 Founders College, 4700 Keele Street, Ontario, Canada M3J 1P3 Tel: 1-(416)736-5353 Fax: 1-(416)736-5908 Email: yueli@yorku.ca Web: www.yueli.yorku.ca

1 How To Apply to 2012/2013 YUBridge Program 2012/2013 YUBridge Course Schedule Course Code Dates Application Deadline 3294 September 4, 2012 April 26, 2013 June 30, 2012 3374 January 7, 2013 August 23, 2013 September 30, 2012 3384 May 6, 2013 December 19, 2013 February 28, 2013 3394 September 3, 2013 April 25, 2014 June 30, 2013 Eligibility Minimum 80% GPA from high school or equivalent, and Meet one of the following English Proficiency requirements: o TOEFL ibt 64, with a minimum of 16 in writing o IELTS 5.0 overall, with a minimum of 5.0 in writing Canadian Study Permit and Temporary Resident Visa Consult your nearest Canadian Embassy or Consulate about visa requirements and processing times. For information about Canadian visas, please visit the Citizenship and Immigration Canada website at www.cic.gc.ca. An official Letter of Acceptance from YUELI and the Offer of Admission to degree studies at York University can be used as part of the Study Permit / Canadian Temporary Resident Visa application procedure. You will receive those letters in Step 4 below. Application Process Step 1 : Submit your Undergraduate Application Online 1. Find York University Online Application at http://futurestudents.yorku.ca/applying/onlineapp 2. Click APPLY NOW 3. Fill out required fields. a. Under the Goal of Study heading, choose Option 1: I wish to study towards a degree b. Under the Subject of Major Interest heading, choose: i. Undecided major - Fac. Liberal Arts and Prof. Studies, BA, or ii. Undecided major Faculty of Science and Engineering, BSc 4. Continue filling in relevant fields 5. Confirm information provided by pressing Check Application Data 6. Submit your $90CND York University Application Fee by using a credit card 7. Write down your 9-digit York University Reference Number 8. You will receive an email from York University after successfully completing your online application 2 P age

Step 2 : Submit your YUBridge Application Package to YUELI Please submit the following documents to YUELI: a) Completed YUBridge Program Registration Form b) Official Transcripts (Please refer http://futurestudents.yorku.ca/requirements/docs_transcripts for more information) c) Language Proficiency Requirements d) Other documents (If requested on your MyFile) e) $60CND YUELI Program Application Fee by Credit Card or by a Money Order (payable to York University) Please send your application package to: York University English Language Institute 035 Founders College 4700 Keele Street Toronto, Ontario, Canada M3J1P3 Step 3 : YUELI and York University will determine your eligibility for the program. You will receive a letter from YUELI with the result. Step 4 : Submit a $3000CND tuition deposit to YUELI Please submit a $3000CND tuition deposit to YUELI. The payment method is indicated in the bottom of this page. You will receive the following documents once your payment is confirmed: a) York University Offer of Admission b) YUELI YUBridge Program Letter of Acceptance c) Receipt confirming your payment You may use these documents for your Canadian Temporary Resident Visa / Study Permit applications. Please make sure to read and understand YUELI s Transfer, Cancellation and Refund Policy before you make payments to YUELI. Step 5 : Complete your full tuition by payment deadline (28 days prior to Day One of the program) Questions? Please contact us at: York University English Language Institute 035 Founders College, 4700 Keele Street, Ontario, Canada M3J 1P3 Tel: (416) 736-5353 Fax: (416) 736-5908 Email: yueli@yorku.ca Web: www.yueli.yorku.ca 3 P age

2 Accommodation Options and Information 3 Easy Steps to Request Your Accommodation at YUELI! Step 1: Read the information below carefully. Step 2: Submit your Accommodation Request Form and the minimum fee ($100 One-Time Placement Fee + $200 Accommodation Deposit) to YUELI. Step 3: Complete your full accommodation fee 4 weeks before Day One of the program. YUELI Accommodation Options YUELI Accommodation (Homestay/Residence) is available for students who are actively registered in a YUELI Program. Please request your accommodation by 8 weeks prior to the course starting date in order to secure your space in homestay or in residence. Students in YUBridge Program may request their accommodation for the first 8 weeks of their courses and arrange the extension beyond the 8th week after their arrival to YUELI. Homestay for 8 weeks Residence for 8 weeks (May to August) Residence for 8 weeks (September to April) One-time Placement Fee ($CAD) $100.00 (non-refundable) Accommodation Fee ($CAD) $1760.00 $1680.00 $2333.00 Meal Option 3 meals included. Meal Plan is not available. Mandatory Meal Plan ($650.00) is included. Move-in Date Move-out Date Saturday prior to Day One of the program. Saturday at 11am after the last day of the program. (Saturday at 11am in Week 8 of the program for YUBridge Program) YUELI Homestay and Residence Cancellation Policy $100 Placement Fee is non-refundable. A) Cancellation due to Temporary Resident Visa/Study Permit Denials Students must submit a copy of the Temporary Resident Visa or Study Permit denial letter. Cancellation request received by: Amount withheld from tuition payments: Up to Day 1 $100 admin fee Day 2 Week 1 50% of tuition + materials fee After Week 1 No refunds are available. B) Cancellation due to other reasons Cancellation request received by: Amount withheld from accommodation payments 28 days or more before Day 1 $100 admin. fee. 27 days - last business day before Day 1 $200 + $100 admin. fee. Saturday prior to Day 1 - end of Week 1 50% of fees + $100 admin. fee. After Week 1 No refunds are available. YUELI Accommodation Request Form 2012.3 4 Page

3 How To Submit Your Tuition Fee to YUELI Please make sure to read and understand YUELI s Transfer, Cancellation and Refund Policy before you make payments to YUELI. YUELI accepts payments in the following methods: a) Visa Card / MasterCard In person: Payments can be made by Visa or MasterCard in person at the YUELI office during our business hours. The credit card holder must be present with his or her photo ID. By Credit Card Authorization Form: 1) Submit the following documents: - Completed Credit Card Authorization Form - A clear photocopy of the both sides of the credit card - A clear photocopy of the cardholder s photo ID (passport, etc.) b) Debit Card: In person only. The debit cardholder must be present with his or her photo ID. c) Money Order (payable to York University): Please submit in person or send by mail to: York University English Language Institute (YUELI) 035 Founders College 4700 Keele Street, Toronto, Ontario M3J 1P3 d) Bank Transfer: Please contact YUELI Office by email (yueli@yorku.ca) for bank information. Approximate processing time is as follows: Method Money Order/ Credit Card/ Debit Card in person Credit Card by email or fax Bank Transfer Estimated Processing Time for Letter of Acceptance Immediately after the payment is received 2 business days plus mail time 4 business days plus mail time 5 P age

4 2012 YUBridge Program Transfer and Cancellation Policy For all transfers or cancellations, please: 1. Inform YUELI in writing by submitting the Transfer Request Form or Cancellation Request Form 2. Submit any required documents within 30 days of initial transfer or cancellation notification COURSE TRANSFER Students who wish to transfer to a future course within the YUBridge Program must submit a transfer request by one week prior to Day One of the course. Two transfers per students are allowed. Each transfer request is subject to a $100 transfer fee. Students who wish to transfer to Destination York Program must submit a transfer request by four weeks prior to Day One of the course. Each transfer from YUBridge Program to Destination York Program is subject to a $100 transfer fee. Transfer requests that are received after the specified deadlines above will not be accepted. CANCELLATION IMPORTANT: The Registration Fee, York University Application Fee, Testing Fee, Accommodation Placement Fee and the $3000 course deposit for YUBridge Program are non-refundable. Refunds issued by bank transfer will incur an additional bank charge of $25. To be eligible for a refund, the Cancellation Request Form and any necessary documentation must be received by YUELI within 30 days of the initial cancellation notification. Incomplete forms (missing contact information, signature, etc.) will not be processed. YUELI will issue refunds to the original payer by the same method used for the original payment. All refunds will be processed after Day One of the course. Normal processing time for refund payments by cheques and bank transfers is 4-6 weeks after the necessary documents are received by YUELI. Normal processing time for refund payments by credit cards and debit cards is one week after the necessary documents are received by YUELI. Refund cheques that are not cashed within six months will be cancelled. For questions, please contact: York University English Language Institute 035 Founders College, 4700 Keele Street, Ontario Canada M3J 1P3 Tel: (416) 736-5353 Fax: (416) 736-5908 Email: yueli@yorku.ca Web: www.yueli.yorku.ca A) Cancellation due to Temporary Resident Visa/Study Permit Denials Students must submit a copy of the Temporary Resident Visa or Study Permit denial letter. Cancellation request received by: Up to Day One After Day One B) Cancellation due to other reasons Cancellation request received by: Amount withheld from tuition payments: Cancellation request received by: Up to Day One After Day One Emergency Medical insurance Amount withheld by YUELI $100 administrative fee No refunds are available Amount withheld by YUELI 40% of the total program fee ($21,790) + $100 administrative fee No refunds are available Emergency medical insurance is mandatory for all YUELI students. The coverage is provided by Guard Me (http://www.guard.me/). Students who wish to cancel their coverage by Guard Me must notify YUELI no later than Day One of the course and present their alternative heath cards such as OHIP (Ontario Health Insurance Plan). 6 P age

York University English Language Institute (YUELI) 2012-2013 YUBridge Program Registration Form York University English Language Institute 035 Founders College, 4700 Keele Street, Ontario, Canada M3J 1P3 Tel: (416) 736-5353 Fax: (416) 736-5908 Email: yueli@yorku.ca Web: www.yueli.yorku.ca Appendix A Program Fees 6 Credit Program Fee $21,790* Extra 3 Credit Option $ 1,700 Please note: - All fees are in Canadian currency. - 2013 fees are subject to change *The fee includes Registration Fee ($60), York University Application Fee ($90), Testing Fee ($75), ESL Tuition Fee, York University Credit Courses (6 credits), Materials fee and Emergency Health Insurance Fee. Step 1: Please choose a faculty option for your YUBridge credit courses: Faculty of Liberal Arts and Professional Studies Faculty of Science and Engineering Step 2: Please choose a course: Course 3294 September 4, 2012 April 26, 2013 Course 3374 January 7, 2013 August 23, 2013 Course 3384 May 6, 2013 December 19, 2013 Course 3394 September 3, 2013 April 25, 2014 Step 3: Please select an accommodation option. Please submit your Accommodation Request Form by 8 weeks prior to the course starting date in order to secure your space in homestay or in residence. I would like to stay in homestay or in residence. I will submit the Accommodation Request Form with the $100 placement fee + $200 accommodation deposit. I do not request accommodation at YUELI Step 4: Please fill out the rest of Page 1 and 2 of this form. Student Information Female Male York University Application Reference Number: Family Name Given Name Date of Birth (Day/Month/Year) Country of Birth Native Language Country of Citizenship Permanent Address Street Address City/Town Province/State Postal Code Country Telephone Number Fax Number Email Address 2012/2013 YUELI YUBridge Program Registration Form 2012.3 7 Page

Appendix A Emergency Contact Last Name First Name Relationship Telephone Number Fax Number Email Address OHIP or Private Emergency Health Insurance Information (If available) Name of Insurance Company Policy # Expiry Date (Day/Month/Year) Statement of Interest Please briefly list your reasons for applying to YUBridge Program and your educational/personal goals (100 words maximum). Declaration and Consent of Application I have read and agreed to the following: 1. I certify that the information I have provided on this application is true, complete and accurate in all respects and that all information requested in this application has been disclosed. 2. All information I have provided in connection with this application is subject to verification and audit by York University English Language Institute (YUELI). 3. I shall provide supporting documentation to YUELI to verify my eligibility upon request. 4. I have read and understood the course transfer, cancellation and refund policies. Student s Signature Date Protection of Privacy YUELI gathers and maintains information for the purposes of admissions, registration and other fundamental activities related to be a member of the University community. When signing an application for admission, you should know that the information you provide, and any other information placed into your student record, will be protected and used in compliance with Ontario s Freedom of Information and Protection of Privacy Act. The information on this form is collected under the authority of The York University Act, 1965 and is needed for educational, administrative and statistical purposes and to process your application for admission. The information will be used to verify qualifications and decide your eligibility for admission. If you have any questions about the collection, use and disclosure of your personal information by YUELI, please contact the YUELI office, 035 Founders College, 4700 Keele Street, Toronto, Ontario, M3J 1P3. www.yorku.ca/secretariat/infoprivac 2012/2013 YUELI YUBridge Program Registration Form 2012.3 8 Page

Appendix B York University English Language Institute (YUELI) Accommodation Request Form York University English Language Institute 035 Founders College, 4700 Keele Street, Ontario, Canada M3J 1P3 Tel: (416) 736-5353 Fax: (416) 736-5908 Email: yueli@yorku.ca Web: www.yueli.yorku.ca Student Information Female Male YUELI Student ID number (if available) Family Name Given Name Date of Birth (Day/Month/Year) Native Language Nationality Program Information YUELI Course Code: Program Name: Accommodation requested date: From TO (Month/Year) (Month/Year) Person to be contacted on your behalf in case of emergency Last Name: First Name: Relationship: Telephone number : 011 country code: - area code: - number: Email Address: I would like to request: Homestay for 8 weeks (Please submit page 2, 3 and 4 of this form) Residence for 8 weeks (Please submit page 2 of this form ONLY) I am submitting this form with the required fees to YUELI. I have read and fully understood the terms and conditions outlined in this application, as well as YUELI s course transfer, cancellation and refund policies as listed on the first page of this application form. Student s Signature Date Protection of privacy: Personal information in connection with this form is collected under the authority of The York University Act, 1965 for educational, administrative and statistical purposes. The information will be used to process your enrolment and registration in academic programs; to record and track your academic progress; and for related record-keeping purposes. If you have any questions about the collection, use or disclosure of this information by York University English Language Institute (YUELI), please contact the Director of YUELI, 035 Founders College, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, 416-736-5353, (yueli@yorku.ca). YUELI Accommodation Request Form 2012.3 9 Page

Appendix B York University English Language Institute (YUELI) Accommodation Request Form York University English Language Institute 035 Founders College, 4700 Keele Street, Ontario, Canada M3J 1P3 Tel: (416) 736-5353 Fax: (416) 736-5908 Email: yueli@yorku.ca Web: www.yueli.yorku.ca Please answer the following questions so that we can place you in suitable Homestay accommodations: 1. Do you smoke? Yes No 2. Does smoke bother you? Yes No 3. Do you have allergies? Yes No If yes, please list them: 4. Do you have food restrictions (for example, halal food, vegetarian, etc)? Yes No If yes, please list them: 5. Please list the foods you do not like or cannot tolerate: This Page Is For Homestay Students ONLY 6. Are you taking any medication or have any suffer from any medical conditions that your homestay family should understand? Yes No If yes, please list them: 7. Do you prefer to live with a family: with children without children No preference 8. Do you prefer to live with a family: with pets without pets No preference *Please note that families with pets will have pets living inside the home. The most common pets are dogs, cats and birds. 9. What are some of your hobbies and/or interests (for example, sports, watching movies, travelling)? Please list your hobbies: ARRIVAL INFORMATION: If you are flying directly from your home country to Toronto, please list your flight details: Flight arrival date: day month year Flight arrival time: : AM/PM City flying from: Airline name: Airline number: If you are already in Toronto, please indicate the date and time you will arrive at your Homestay family home: Arrival date: day month year Arrival time: : AM/PM If arrival information is not yet known, please send us the details (including your student name and student number) by fax 416-736-5908 or by e-mail yueli@yorku.ca no later than 14 days prior to course start date. DEPARTURE FROM HOMESTAY: Please indicate your intended departure date from Homestay: Departure date: day month year If you have already booked a flight to your home country, please list your flight details: Flight departure date: day month year Flight departure time: : AM/PM Airline name: Airline number: YUELI Accommodation Request Form 2012.3 10 Page

Appendix B YUELI HOMESTAY STUDENT CODE OF CONDUCT This Page Is For Homestay Students ONLY All students registered in the YUELI Homestay program must read and sign the following YUELI Homestay Code of Conduct. Students who do not obey the Code of Conduct rules could be dismissed and removed from the YUELI Homestay program. YUELI Homestay students are required to obey the follow Homestay rules: 1. Abide by the laws of Canada; 2. Respect the house rules as expressed by the host family; 3. Respect all the members of the host family; 4. Keep their bedroom and bathroom clean; 5. Inform the family if they are not arriving for dinner; 6. Inform the family in a timely manner if they are going to be away for the weekend, or sleeping somewhere else for the night(s); 7. Ask permission before using the Host s telephone for long distance calls and keep the length of the calls and telephone use to hours established by the Homestay family; students should purchase long distance phone cards; 8. Ask permission to bring friends to the family s house; 9. Ask permission before using the computer; students will not access any inappropriate websites such as those with pornographic content; 10. Do not buy or drink alcoholic beverages if under the age of 19 as per Ontario Law; discuss alcohol consumption in the home with the Homestay family if over the age of 19; 11. Follow the Homestay smoking policies (see reverse for YUELI s Smoking Policy); 12. Do not make any private financial arrangements with the YUELI host families; 13. Return the keys of the house and/or room when moving out; YUELI Homestay students are required to regularly communicate with the Student Services Coordinator. Specifically, students must: 14. Inform the Student Services Coordinator if the host family is going to be away and you, the student, is going to be left alone in the house, regardless of any arrangements made between the family and the student; 15. Inform the Student Services Coordinator if they plan to stay with their host families during any course breaks; 16. Communicate with the Student Services Coordinator for any persistent and/or serious concerns; 17. Attend three Homestay meetings with the Student Services Coordinator at week 1, 2 and 4 of the course; 18. Fill out the Homestay evaluation for every placement; YUELI Homestay students should also: 19. Read the YUELI s Accommodation Cancellation and Refund policies (see reverse for this policy); Smoking Policy in YUELI Homestays A student placed in a smoking household (YUELI has only one Homestay family that accepts smoking inside the house) is required to learn and follow the rules governing smoking indoors. Students placed in non-smoking households that accept smoking outside of the house should expect to smoke 9 meters from the house. Students or their guests found to be smoking inside the home or within 9 meters of the house can be asked to leave the Homestay. In such a case, YUELI will try to place the student with another family. If another family is not available, the student will be placed in a hotel, temporarily (and incur any additional expense) or until the end of their term at YUELI. Some families do not wish to host students who are smokers. YUELI will not place smokers with this type of family. Should students who identify themselves as non-smokers on their applications found to be smoking they can be asked to leave the Homestay. In such a case, YUELI will try to place the student with another family. If another family is not available, the student will be placed in a hotel temporarily (and incur any additional expense) or until the end of their term at YUELI. Students should ask permission from their Homestay families to bring friends that smoke inside the home. Smoking Policy at York University (From: http://www.yorku.ca/iquit/campuspolicies/) Smoking is not permitted in any campus buildings and in student rooms in residences. I, have read and understand the above 19 rules and Smoking Policy at YUELI Homestay (print first and last name) and at York University. By signing my name, I agree to follow the above rules. I understand that failure to obey any of the above rules could result in my dismissal and removal from the YUELI Homestay program. Signature Date YUELI Accommodation Request Form 2012.3 11 Page

Appendix C CREDIT CARD AUTHORIZATION FORM To pay for a YUELI course by credit card, please visit the YUELI office. If the card holder cannot visit the YUELI office, please: FOR OFFICE USE ONLY Date received: 1. Email (scan) or fax a clear copy (or image) of both sides of the credit card and a clear copy (or image) of one side of valid PHOTO IDENTIFICATION. 2. Complete this form and return it by email: yuelicc@yorku.ca OR fax to: +1-416-736-5908 YUELI Student ID (if known) : Name of Student: Course(s): Visa MasterCard Credit Card Number: Expiry Date (mm/yy): Amount Authorized: CAD$ Name on the credit card: I authorize YUELI to charge my credit card for the above amount as payment for YUELI courses and services. I have read, understand, and agree to the conditions in the YUELI Cancellation and Transfer Policy (see attached). Credit Card Holder s Signature Is someone else making this payment on behalf of the student? If yes, please provide us with his/her name and address below. Yes No First Name: Last Name: Address: City/Town: Province/State: Postal Code: Telephone (Home): Telephone (Mobile): (Work): (Fax): E-mail Address: Protection of privacy: Personal information in connection with this form is collected under the authority of The York University Act, 1965 for educational, administrative and statistical purposes. The information will be used to process your enrolment and registration in academic programs; to record and track your academic progress; and for related record-keeping purposes. If you have any questions about the collection, use or disclosure of this information by York University English Language Institute (YUELI), please contact the Director of YUELI, 035 Founders College, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, 416-736-5353, (yueli@yorku.ca). Please remember to email (scan) or fax a clear copy (or image) of both sides of the credit card and photo identification and return this completed form to YUELI by email: yuelicc@yorku.ca OR fax to:+1-416-736-5908 YUELI Credit Card Authorization Form 12 P age