CONNECT Application Form
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Email address
*
Your email
FULL NAME:
*
Your answer
DATE
*
Date
CURRENT GRADE
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Choose
10
11
12
CONNECT COURSE(S) YOU ARE INTERESTED IN TAKING:
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Your answer
AIM Teacher
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Choose
Bednard
Bouchard
Bradford
Brinson
Camsell
Crouse
Deeter (Erker)
Deimert/Kendall
Durand
Gerard
Gill
Hassanali
Hickox/Forster
Houlder
Jensen
Johnson
Konno
LaValley
Morrison
Nielsen
Ovsiy
Prince
Soule
Tanasichuk
Terceros
Villager
Vogan
Vavrek
Warkentin
Younger
Reason for applying fora CONNECT course
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Your answer
Have you taken a CONNECT course before?
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Choose
Yes
No
If you HAVE taken a CONNECT course, which one?
Your answer
Why do you think you would be successful in a CONNECT course?
*
(Why do you think you are an independent learner?)
Your answer
Give an example of a class or activity (school or non-school) in which you have independently been successful at a task or project.
*
Your answer
Please give the name of two teachers at PWA that would be able to speak to your self-motivation and responsibility.
*
Your answer
Send me a copy of my responses.
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