Course Request Form:
Name *
Your answer
School: *
Your answer
Grade: *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Time Zone *
Your answer
I would like to request a Bonim B'Yachad online course for... *
Please provide a specific course name. You can refer to the Edu-Together course catalog (https://www.edutogether.org/coursecatalog) *
Your answer
Please list the days and times that you would like your course to meet. Provide as many options as possible. *
Your answer
Please provide as much information about the class and about your learning goals as possible. Include any special learning needs, and anything else that you feel would be helpful for the online teacher to know. *
Your answer
Do you have a curriculum and text for this course, or will you want Edu-Togteher to supply the learning materials? *
What type of devices will you be using to connect to the online course? *
I have taken online courses in the past. *
If "yes," please list the providers with which you have previously worked.
Your answer
I want to start this new course... *
I understand that by completing this form, I am committing to this course. All payments will be due at the beginning of the course, unless specified by Edu-Together. I also understand that Edu-Together's cancellation terms and conditions apply. Once I press "Submit," Edu-Together will begin the process of creating this new course. Edu-Together will provide the best instructor option available. If the student is not happy with the candidate, a second candidate will be presented. The student will then be asked to choose. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Bonim B'Yachad. Report Abuse