SelfDesign's CoDesign Workshops RSVP
Welcome to the application for SelfDesign's CoDesign 11 and 12!

Thank you for completing the following which will reserve your place in CoDesign for the 2017/18 learning year. Your guiding mentor will assist you in the actual registration process in September.

If you need to discuss these group learning options further, please do not complete this form. First, contact Anita (anitalevesque@selfdesign.org) or join us at an Open Houses (see below).

After completing this application your guiding mentor for the coming learning year will contact you by the end of June.

First (and preferred) name
As it appears on your birth certificate - include a preferred first name in (brackets)
Your answer
Last name
Your answer
Email address (your personal email addresses)
Your answer
Phone number
Your answer
Email address for your parent(s)/guardian(s)
Your answer
If you have already been assigned a guiding mentor for 2017/18, please add their name here.
Your answer
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