Application Form

Program: {Choose your English Program:6}{Select your English Program:17}
Start Date:: {Start Date:9}
End Date:: {End Date:81}
Number of weeks: {Number of weeks:21}{Number of weeks:11}
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Do you need Accommodation?*
- Yes
- No
Please note that prices quoted are for arrival on the Sunday before the start of your program and for departure on the Saturday following the end of the program. Additional fees will apply if additional nights are requested. For more details, please contact info@ohla.com.
Arrival date
Departure date
Number of weeks?*
Number of weeks?*
Choose your type of accommodation*
Choose your accommodation type*
Accommodation options and prices between June 30th and August 31th, 2019
Choose your accommodation type*
Accommodation options and prices between Sept 1st and December 21st, 2019
Residence Booking Fee
Price: $50.00
Homestay Booking Fee
Price: $195.00

Program: {Choose your English Program:6}{Select your English Program:17}
Start Date:: {Start Date:9}
End Date:: {End Date:81}
Number of weeks: {Number of weeks:21}{Number of weeks:11}
Accommodation option : {Choose your type of accommodation:78}{Choose your accommodation type:74}
Arrival date: {Arrival date:72} Departure date: {Departure date:75}
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Do you need Airport transfer?*
- Yes
- No
Fee applies to arrival and departure from the Miami International Airport / A supplement will apply for arrival and departure from Fort Lauderdale International Airport
Airport Transfer Options
Do you need insurance?*
- Yes
- No
Coverage Begin*
Date Format: MM slash DD slash YYYY

If you require accommodation, coverage dates are to be the same as your Arrival and Departure dates. If no accommodation is needed, enter the Start and End dates of your program of studies.
Coverage Ends*
Date Format: MM slash DD slash YYYY
Number of days insured
Insurance Fee
Price: $0.00

Personal Information*
First Last
Enter your date of birth?*
Gender*
Nationality*
Enter your email address*
Enter Email Confirm Email
Enter your telephone number (please include country and area codes)
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country