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International Club Young Leaders
Student Registration Form
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* Indicates required question
Student Name (FIRST NAME _ LAST NAME)
*
Your answer
Grade level
*
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Home address
*
Your answer
Phone number
*
Your answer
Email address
Your answer
WhatsApp username
Your answer
Students' native language
*
Arabic
Dari
Pashto
Spanish
Swahili
Other:
Which programs will students be participating in?
*
International Club - ESL & Homework support (grades 6th-8th)
Learning Partners Tutoring (grades 6th-12th)
Future Pathways Academy College & Career Readiness (9th-12th grades)
Computer Wizard Training (6th-12th grades)
Girl Power (Girls only, 6th-12th grades)
Required
What subjects are needed for tutoring?
English Language Development (ELD
Reading
Writing
Math
Other:
Student commits to attending programs as scheduled for the 2020-2021 school year.
*
Yes
No
Parent's Name (FIRST _ LAST)
*
Your answer
Parent phone number
*
Your answer
I give permission for my child/children to participate in Catholic Charities‘ International Club Young Leaders programs.
*
Yes
No
I give permission for photos of my child/children participating in this program to be used in Catholic Charities’ newsletter, publications and social media.
*
Yes
No
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