Example form Partner/Affiliate Online & Home EN
Formulaire EN À Domicile pour Partenaires/Affiliates
Contact person details
First name
Phone
Last name
Email
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Student's details
Student's first name
Student's last name
Address
Postal code
Subject(s)
School grade
Brief description of difficulties and other details
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Where will the sessions take place?
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Online
At home
In a school setting
Please note that our in home services are only offered to students between the 1st and 12th grade.
Will the lessons take place at the student's address?
- Select -
Yes
No
Address of the sessions
Postal code
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Availability for the sessions (please indicate at least 3 availability slots)
Session frequency
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Once a week
Twice a week
Three times a week
Monday
Tueday
Wednesday
Thursday
Friday
Saturday
Sunday
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Submit