日間

申込前に確認を！

研修旅行代金

研修期間

2018年

14

円

募集要項

【申込みに必要な書類】　（MyWasedaでの申請後、指定期間に以下の書類を提出します）

コース No.2

☆研修旅行代金に含まれるもの

☆研修旅行代金に含まれないもの

日程表　日 都市 予定

1

羽田もしくは成田

ウィニペグ

16：00～ 17：00羽田もしくは成田発、乗継便にてウィニペグへ------------------------日付変更線通過------------------------19：00～ 20：00　ウィニペグ到着到着後、送迎車にて研修先または宿泊先へ移動� 学生寮泊

2▽26

ウィニペグ プログラム参加スケジュール��8：30～ 15：20 クラス15：30～ 17：00 Conversation�Café（水曜のみ）※�スケジュールは一般的な例で日により異なります。過去のスケジュールの場合もあります。※2～ 26日目は研修旅行取扱会社「無手配日」です� 学生寮泊

27ウィニペグ 送迎車にて空港へ移動、各自にてチェックイン

08：00～ 09：00　ウィニペグ発、乗継便にて羽田もしくは成田へ------------------------日付変更線通過------------------------� 機中泊

28 羽田もしくは成田 15：00～ 16：00　羽田もしくは成田到着到着後、解散

都市

留学先

プログラム

・上記のフライトスケジュールはエアカナダ利用の例です。・現地でのスケジュールは留学先機関、天候等の諸事情により一部変更となる場合があります。

●プログラム別の申込書類およびスケジュール詳細は留学センターウェブページに掲載しています。

「Intensive�English�Program（IEP）」と題して、語学レベルにあわせて、スピーキング、リーディング、ライティングをバランスよく学習します。また、英会話実践の場として、Conversation�Caféの時間が設けられており、他の留学生との交流を楽しみながら英会話スキルを磨くことができます。英語学習以外のアクティビティも充実しており、授業のない時間帯にはスポーツ等の交流イベントも予定されています。充実した英語学習プログラムと各種アクティビティを通じて英語スキルを向上させ、英語への自信をつけることができるでしょう。

●�参加者の主な国籍：日本、中国、韓国、ベトナム、ベルギー、ウクライナ、コロンビア、ブラジル、メキシコ等

1877年に創立された歴史的にも古い大学です。学生数は約３万人で、そのうちおおよそ16％の学生がカナダ国外の

100カ国以上の国々から集まっています。メインキャンパスはウィニペグ中心街から12キロほど離れた、レッド川沿いにあります。画期的な研究で世界的に認知されており、当該大学の学生は工学、科学、ビジネス等の分野において顕著な実績を残しています。

ウィニペグはカナダ中部にあるマニトバ州の州都であり、一年を通して青空が続き、広大な草原、緑濃い森林が多いことで

知られています。人口はおよそ80万人で、市内には世界各国の料理が味わえるレストラン、英王室の称号を持つ2つのアートカンパニー、30以上の美術館や博物館を有します。夏の間の日照時間は一日で最大16時間もあり、気温は平均26度と過ごしやすい気候です。

上記の他は含まれません。その一部を例示します。超過手荷物手数料／海外旅行保険／日本国内の交通費・食費・宿泊費／通学費／課外活動費（参加任意のもの）／その他個人的生活諸費用／国内空港施設使用料（2,610円）・外国諸税（4,620円）・燃油サーチャージ、旅客保安サービス料（21,000円）※国内空港施設使用料、外国諸税、燃油サーチャージは2018年2月1日現在のもので予告なく変更となる場合があります。これらの費用は最終確定金額として研修旅行代金とあわせてお支払いただきます。

＜全プログラム共通＞・短期留学プログラム申込書（写真添付）・海外留学プログラム誓約書・パスポートのコピー

＜プログラム別＞・マニトバ大学指定Admission�Form・�マニトバ大学指定Consent�for�Release�of�Personal�Information�Form・�マニトバ大学指定� �Residence�Application�Form

研修費用・宿泊費／プログラム期間中の食事（平日3食、土日祝日2食（朝・夕））／課外活動費（参加任意のものを除く）／日程表に記載したエコノミークラス利用海外往復航空券／現地空港と研修先または宿泊先間の往復送迎費／ eTA申請料・代行手数料／早大プログラム開発運営費／企画料金（P.37記載の取消料規定はこの企画料金を基準とします。）※企画料金は59,500円と定め、研修旅行代金に充当します。

★�スピーキング、リーディング、ライティングをバランスよく学べます★�Conversation�Caféや各種アクティビティを通じて一緒に学ぶ留学生と交流し、楽しく英会話スキルを伸ばせます

★�バンクーバーやトロントとはまた異なるカナダを体感できます

※国内及び現地空港諸税、燃油サーチャージ、旅客保安サービス料は含みません。※最少催行人数に達しない場合も研修が実施できる場合がありますが、研修旅行代金が増額となります。その場合、改めて代金を示し参加の意向を確認します。

●最少催行人数：10名●最大募集人数：15名●対象語学レベル：英語力初級～上級

●宿泊先：学生寮（個室利用予定）●食　事：平日3食、土日祝日2食（朝・夕）●同行員：添乗員・教職員は同行しません●利用予定航空会社：エアカナダ、全日空、日本航空、デルタ航空●査　証：�日本国籍の場合、eTA取得。外国籍の場合は各自にて確認し取

得していただきます。

545,0008月6日（月）～9月2日（日）

カナダ有数の歴史を誇る大学。緑ゆたかなキャンパスで学ぶ充実の英語学習プログラム！

28マニトバ大学Winnie the Pooh（くまのプーさん）ゆかりの街

カナダ　ウィニペグ

●平均的な参加者数：約150名　●1クラスあたりの人数：10～ 25名

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

INTENSIVE ENGLISH

PROGRAM

ExpEriEncE Manitoba activitiEs umanitoba.ca/extended/english/iep

INTENSIVE ENGLISH PROGRAM

IEP Admission FormPROGRAM DATES

Program Start Date: ____________________________________________ Number of Months: __________________________________________________

STUDENT INFORMATION

Male Female Family Name*: _________________________________________________________________________________________________

First (Given) Name*: ____________________________________________ Middle Name(s): ____________________________________________________

Telephone: __________________________________________________ Date of Birth (yy/mm/dd)*: _____________________________________________

Home Address: _______________________________________________ City/Town: ________________________________________________________

Country: ___________________________________________________ Postal Code: _______________________________________________________

Country of Origin*: _____________________________________________ Passport Number*:___________________________________________________

Student Email*: ___________________________________________________________________________________________*Indicates required information

Agency: ____________________________________________________ Agency Email: ______________________________________________________

ACCOMMODATION INFORMATION

What is your preferred accommodation? (Please check one) Homestay Residence Tuition Only

Please Note: We will try our best to accommodate each student. Early admission is recommended.

ADMISSION FEE

A $300 admission fee is required with your application. The admission fee is non-refundable and non-transferable.

REFUND POLICY

Requests for refund must be made prior to the start date. After the program start date, no refunds will be issued.

Accommodation fees are non-refundable and non-transferable.

I have read and understand the refund policy as stated above.

__________________________________________________________ ______________________________Signature Date

Your personal information is being collected under the authority of The University of Manitoba Act. The information you provide will be used by the University for the purposes of registration, communication, and to facilitate payment. Your personal information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about the collection of your personal information, contact the Access & Privacy Office (tel. 204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.

OFFICE USE

Cohort: __________________________________________________________________________________________________________________

PLEASE INDICATE TYPE OF PAYMENT

Bank Transfer – Please contact our department for more information at: iep@umanitoba.ca

Cheque/Money Order – Payable to the University of Manitoba (post-dated cheques can not be accepted).

Payment by Credit Card – Complete the following section.

Visa MasterCard Credit card number: __________________________________ Expiry date: _______________________________

Card holder’s name (as it appears on the card): __________________________________ Amount $ _______________________________

Authorizing signature: __________________________________

OFFICE USE

CONTINUING AND PROFESSIONAL STUDIES

Your personal information is being collected under the authority of The University of Manitoba Act. The information you provide will be used by the University for the purpose of obtaining authorization to release personal information to a third party. Your personal information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about the collection of your personal information, contact the Access & Privacy Office (tel. 204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.

I, ___________________________________________________________________________________________________________

a student at the University of Manitoba, authorize Continuing and Professional Studies, to release the following information:

Acceptance records

Tuition payment records

Homestay/residence details

Placement test/records

Attendance records

Academic records

Timetable (or class schedule)

Other: ____________________________________________

This personal information can be released to (give the name of the public body, organization, or individual): __________________________________________

____________________________________________________________________________________________________________

For the purpose of (specify the purpose(s) for release of the personal information): _________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

• I hereby state that I have read and understood the contents of this Consent for Release of Personal Information.

• I hereby give my consent for the release and use of the specified personal information and I declare that this consent has been given voluntarily.

Date: _______________________________________________ Expiry Date (one year after departure): ________________________________

Signature: ____________________________________________ Signature of Witness: ___________________________________________

The public body, organization, or individual receiving this personal information is directed not to use the information for any other purpose than that stated above. The recipient is also directed not to further release this personal information without the further written permission of the individual that the information is about.

Consent for Release of Personal Information

ACCOMMODATIONGUIDE

CONTINUING AND PROFESSIONAL

STUDIES

INTENSIVE ENGLISH PROGRAM

DEAR STUDENT,

Welcome to the IEP Accommodation Program. As an IEP student, you have the option to choose between a placement with a homestay family or in a residence on campus. To ensure that your accommodation experience is successful and rewarding, it is important that you read the guidelines below:

1. ACCOMMODATION TYPE:

Homestay: Living with a homestay family is a rewarding cultural experience. It will give you the opportunity to practice your English outside of the classroom and experience family life in Canada first hand.

Homestay placements for the Intensive English Program are made by the Canada Homestay Network (CHN). Please visit their website to apply for homestay: canadahomestaynetwork.ca/umanitoba.shtml

On-Campus/Off-Campus Residence: a) On-Campus: The University of Manitoba has a number of residence buildings on campus. Residence rooms are usually about 150 square feet and have common washroom, laundry and kitchen facilities. Together with the other students in residence, you will eat breakfast, lunch and dinner in the residence cafeteria. Depending on the location of our residence, you may have to walk approximately 10-15 minutes to your class.

b) Off-Campus: Canad Inns Express has a number of double occupancy rooms available that include an in-suite washroom. The Canad Inn Express is in close walking distance to the University of Manitoba. Please note: the Accommodation Coordinator may use the off-campus option if residence rooms are full. Students cannot choose this option independently.

2. RESIDENCE PLACEMENT

To begin the process of finding a residence room for you, you must first submit a residence application form. Please note: If we do not receive your residence application 14 days before your program start date, your placement may not be processed. You can send your accommodation application form by:

• email to iep_living@umanitoba.ca;

• fax to 204-474-7660; or

• mail to the Intensive English Program, University of Manitoba, 185 Extended Education Complex, Winnipeg, Manitoba R3T 2N2.

The Intensive English Program strives to provide you with your preferred choice of accommodation. Since space in residence may be limited at times, especially during the regular academic year (September – April), alternative accommodation arrangements will be made and your name will be put on the residence waiting list.

INTENSIVE ENGLISH PROGRAM

3. ARRIVAL AND DEPARTURE

You are required to provide your arrival information (date and time of arrival, airline and flight number) to the Accommodation Coordinator at least two weeks prior to your official start date. Arrangements will be made for you to be picked up at the Winnipeg airport by an IEP staff member or your homestay family. You are expected to arrive and leave your accommodation on the scheduled arrival and departure dates set out by the Intensive English Program. The expected arrival date is one day before the start of the program. Students arriving a day, or two earlier will be subject to early arrival fees, or they must find alternate arrangements. Students in residence must depart their room by 12:00 p.m. noon on the scheduled departure date (i.e. one day after the end date of the program) If sufficient notice is given. Students in homestay may arrange a more flexible arrival and departure schedule.

4. RESIDENCE FEES

Students who wish to enroll in residence are required to pay a monthly fee in addition to their tuition fees. Payment in full has to be received before placements can be process. The fees include four weeks of accommodation in residence, three meals per day and airport pick-up upon arrival. Please note that you are responsible for the cost of personal care items (including toiletries, i.e. soap, shampoo, toothpaste, etc.).

The following additional fees may apply:

• Early arrival fees: If you arrive at your residence prior to the scheduled arrival date, you will be charged an additional $60.00/day.

• IEP Breaks: Your accommodation fees do not cover break periods in the IEP program schedule. Students living in residence during any program breaks are responsible for their own meals.

If you are registered as tuition only and would like to apply for IEP accommodations, please contact the Accommodations Coordinator for more information.

5. CHANGING YOUR ACCOMMODATION

Staying in residence or with a homestay family provides a unique cultural experience, and also requires you to be open to new customs and traditions. Please understand that it may take some time for you to adjust to life in Canada. If you have a valid reason for changing your accommodation, you must meet with the Accommodation Coordinator to discuss your concerns. The Coordinator will decide if your request can be approved and if you can move to your new accommodation. Approval of your request is based on availability of residence and homestay families. Once your accommodation placement has started, no refund will be given.

INTENSIVE ENGLISH PROGRAM

IEP RESIDENCE APPLICATION FORM

Please √ your accommodation preference: *If your preferred choice of accommodation is unavailable alternative accommodation arrangements will be made and your name will be put on a waiting list.

Residence

Today’s Date: _________________________________________________________________________________________

Family Name: ______________________________________ Given Name(s): ____________________________________

Agency / Institution Name and Email: _____________________________________________________________________

Program Start Date: __________________________________________________________________________________

Length of Study: 1 month 2 months 3 months 4 months

5 months 6 months 7 months 8 months

9 months 10 months 11 months 12 months

Date of Birth: Day _______ Month ________Year ________ Sex: Male Female

Nationality: _______________________________________ Place of Birth: _____________________________________

Contact Telephone or Cellular Number: ___________________________________________________________________

E-mail Address: _______________________________________________________________________________________

Arrival Information (date/time/flight number/airline): ________________________________________________________

Departure Information (date/time/flight number/airline): ____________________________________________________

Please note: if your flight information is currently unavailable please send it 14 days prior to your program start date.

INFORMATION ABOUT YOU!

What languages do you speak? __________________________________________________________________________

Do you have a health condition that we should know about? yes no

If yes, please specify your health condition: ________________________________________________________________

Do you have any food restrictions? yes no

If yes, please specify your food restrictions: ________________________________________________________________

INTENSIVE ENGLISH PROGRAM

IEP RESIDENCE APPLICATION FORM

Do you have any allergies? yes no

If yes, please explain: __________________________________________________________________________________

EMERGENCY CONTACT:

In case of an emergency who should be contacted on your behalf?

Contact Name: _______________________________________________________________________________________

Relationship to you: ___________________________________________________________________________________

Telephone (country code, area code and number): __________________________________________________________

E-mail address: _______________________________________________________________________________________

INTENSIVE ENGLISH PROGRAM

TERMS AND CONDITIONS FOR RESIDENCE

Please sign and return this form to the Accommodation Coordinator prior to your arrival.

1. I understand that I must follow the rules set by my residence.

2. I understand that I am responsible for the care of my room and its furnishings by keeping my room clean with a high level of sanitation.

3. I understand that I will be responsible for all costs incurred by me which are not included in the accommodation fees. I acknowledge and agree that I will be responsible for any loss or damage I deliberately cause to my residence property.

4. I understand that once the accommodation placement has begun there will be no refund of fees.

5. I understand that I will be asked to leave my room and will be responsible for finding my own accommodation if I have not paid accommodation fees within the first 3 days of arriving.

I understand that I am expected to follow the rules and guidelines set by the program, residence at all times. If I do not follow these rules, I understand that I may be asked to leave the program.

Yes, I agree to the Terms and Conditions.

No, I do not agree to the Terms and Conditions.

**(If you do not agree to the Terms and Conditions, accommodations will not be found for you and you will be responsible for your own accommodations.)**

STUDENT NAME: _____________________________________________________________

DATE: _______________________________________________________________________

STUDENT SIGNATURE: ______________________________________________________

Your personal information is being collected under the authority of The University of Manitoba Act. The information you provide will be used by the University for the purpose of assigning suitable accommodation. Your personal information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about the collection of your personal information, contact the Access & Privacy Office (tel. 204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.