Pilot Program Sign Up

If you would like to sign up for the Pilot Program 2019 (commencing Term 4) please fill out the below fields by June 30th. Program Manager, Jane Smith, will then follow up with further information to confirm participation. 

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* 1. Contact Details:

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* 2. Key contact for the Pilot at our school will be:

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* 3. Your school is considered:

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* 4. How many students are currently enrolled? (All years)

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* 5. How many students enrolled in year 2?

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* 6. How did you hear about this program?

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* 7. Comments or questions for program manager (Jane Smith) ?

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