Day in the Life of a 7 Year Old - Pilot Program Sign Up

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.

Question Title

* 1. Contact Details:

First Name

Last Name

Position/Title

School/Organisation

Address

City

State

Phone

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

Name:

Position:

Email:

Phone:

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* 3. Your school is considered:

Public

Private

Other (please specify)

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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?

API Presentation

Jane Smith

ATSE/Applied/STELR

Parents/Teachers

Webinar

Other (please specify)

Day in the Life of a 7 Year Old - Pilot Program Sign Up

Pilot Program Sign Up

Question Title

* 1. Contact Details:

Question Title

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

Question Title

* 3. Your school is considered:

Question Title

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

Question Title

* 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) ?