Student Service Form

Student Service Form
Please indicate your request*

ILAC Program Cancellation RequestILAC Vacation RequestHealthcare Plan (insurance)ILAC/Tamwood Course Extension
Date:*

YearMonthDay
Student Number*
5 -10 digits
Student Name*

First NameLast Name
Student Contact Email*
example@example.com
School*
Campus*
Citizenship Country*
Date of Birth (D.O.B)*

DayMonthYear
Date
Age*
Parent's or Guardian's email address*
example@example.com
Program Start Date*

DayMonthYear
Monday * Tuesday if Monday is Canadian Holiday
Program End Date*

DayMonthYear
Friday
Enrolment weeks*

ESL Program Cancellation / Withdrawal
Date of Withdrawal request*

DayMonthYear
Friday
Please explain the reasons why you would like to withdraw from your program of study at the International Language Academy of Canada.*
Please also add any additional information you think the intuition should be aware of:
Signature*

Clear
ESL Vacation Request
Vacation Requests - Important Information
1. Students must be enrolled for a minimum of 12 weeks to be eligible
2. Vacations requests may be made for 2-week or 4-week periods only*
3. Vacation requests cannot be back-dated (applied to dates in the past)
4. Students studying in-person in Canada must sign a contract amendment form with their new end date.** Please ensure that your original contract has been signed and that you have uploaded all ILAC Admission documents via the student portal to process your vacation request faster.
5. Minors must have their parent or guardian submit their vacation request. Minors in pre-packaged programs (i.e., summer teen camp) are not permitted to take vacations.
6. Pathway students must begin their vacations on weeks with a main start date (see https://www.ilac.com/start-dates/ for details). Pathway 3 students are not eligible for vacations. If you have questions, contact pathway@ilac.com.
7. Vacation requests must be submitted by Wednesday for the following Monday
8. All vacation requests are subject to a $50 administration fee
If you have read and understood the conditions above and would like to proceed with your vacation request, please submit your request through the student portal.

* If you are sick, or have an unexpected situation requiring a short-term absence, please email online@ilac.com

**Students must ensure their visa status allows changes to their enrolment

[IMPORTANT] IN-SCHOOL Minor students:

We will email your parent or guardian to sign our consent form.
You are enrolled for less than 12 weeks.

You are not eligible for vacation.
English Program you are in;*

Pathway ProgramGeneral English - IELTS - CAMBRIDGE - BUSINESS
Your current Pathway Class level*

Pathway 1Pathway 2Other
Vacation Start Date*

DayMonthYear
Monday
PW Vacation Start Date*

DayMonthYear
Date
Vacation weeks
The Vacation Request Administration fee is $50 for all requests (Non-Refundable)

[PAYMENT] ILAC Online Payment Site:
- CIBC Online URL:https://pay.cibc.com/ilac
- Flywire Online Payment: https://payment.flywire.com/pay/payment
I, {studentName} have read and agreed to ILAC Vacation Policy.
I understand that the vacation administration fee is not refundable.
A copy of your online payment receipt*

pdf, jpg, jpeg, png, gif
Cancelof
Healthcare Plan
Question about

Policy numberEssential Plan CoverageConcierge Plan CoverageOther
ESL Course Extension
Course*
Extension start date*

MonthDayYear
Date
Extension week(s)*
*Please talk to Student Service at the Campus If you want to upgrade or downgrade your Course.

**Online@ilac.com will take care of your online Time Slot change.
Should be Empty:

Student Service Form

ESL Program Cancellation / Withdrawal

ESL Vacation Request

Healthcare Plan

ESL Course Extension