This form can be used to apply to join Pathmakers, or to submit your revised schedule to the Coordinator. Please print it, fill it out, and fax or email it to us. We hope to automate this form soon.
* If you are not a new applicant and you are submitting revised information, please indicate this in the first question. In this case, you only need enter your name, email, and the information that is revised.
| *Are you a new applicant, or are you submitting a revised schedule/info? |
New applicant Submitting revised schedule/info |
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| Pathmaker's profile | |||||||||||||||||||||
| * First Name: | |||||||||||||||||||||
| * Last Name: | |||||||||||||||||||||
| Phone: | |||||||||||||||||||||
| Fax (if applicable): | |||||||||||||||||||||
| * Email: | |||||||||||||||||||||
| School: | |||||||||||||||||||||
| Program & Year of Study: | |||||||||||||||||||||
| Language of correspondence: |
English French |
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| Spoken languages: |
English French |
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| Which levels of students are you comfortable with? |
High school Elementery |
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| Additional info: | |||||||||||||||||||||
| Schedule | |||||||||||||||||||||
Please indicate the times that you are available.
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