Student Application Form 
Fall 2024 Session
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First Name *
Last Name  *
What is your phone and your Signal account number. *
Email Address *
City / Province of Residence  *
Highest level of Education / Last Degree obtained *
Name of your degree / area of studies *
Name of the university that you attended? And for how long? 
Please provide start and end dates.
*
How did you hear about our program? 
If you were recommended by someone, please state the full name of the person who recommended you. 
*
Do you have a phone, tablet or computer with a good internet connection?  *
Please tell us why you want to join Hila Initiative and what you hope to gain from the program.  *
Please take the English placement test. Then provide your test results below mentioning the percentage you scored and your level (A1, A2, B1, etc.) 
Please also indicate your Reading and Listening Scores
*
Please select the box below to confirm that you have downloaded Signal application and the phone number you have provided is of your Signal account.  *
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