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Academic Writing Coaching Registration
Academic Writing Coaching at FAx is offered in-person or remotely one day per week for 50 minutes at a cost of $125+GST per session.
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STUDENT INFORMATION
Student first name:
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Your answer
Student last name:
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Your answer
Student date of birth:
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YYYY
Current post-secondary year:
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Your answer
Student address:
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Your answer
Student contact number:
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Your answer
Contact email for student:
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Your answer
Please indicate any medical information or allergies (if this does not apply, please type n/a):
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Your answer
EMERGENCY CONTACT INFORMATION
Name: (First, Last)
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Your answer
Phone number: (adult learners enter n/a):
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Your answer
Please indicate any medical information or allergies (if this does not apply, please type n/a):
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Your answer
How did you hear about this service?
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Choose
Fraser Academy Website
Online search
Word of mouth
Professional
Current school
Social media
Print media
LEARNER PROFILE
What are the reasons you are seeking academic writing coaching?
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Your answer
Describe your areas of strength:
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Your answer
Relationship to Fraser Academy:
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Former Fraser Academy student or alumni
Previous FAx After3 student (OG, EF Coaching, Math, Educational Therapy, Writing)
None of the above
Areas of writing development:
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Please check all that apply:
Brainstorming and idea generation
Organizing paragraphs and essays
Developing and supporting a thesis
Understanding the steps in the writing process
Building powerful sentences
Incorporating rich vocabulary
Revising and editing drafts
Understanding grammar and mechanics
Other:
Required
PREFERENCES AND CONSENT
Day of session requested:
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Monday/Wednesday
Tuesdays/Thursday
Monday only
Tuesday only
Wednesday only
Thursday only
Time of session requested:
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4:00 pm
5:00 pm
6:00 pm
Term requested:
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Fall/Winter Semester
Spring Semester
Full Year
Use of image:
I consent to having my image used for marketing purposes
Please select one of the following payment options:
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I will set up automatic credit card payments via
http://fraseracademy.plastiq.com
(2.4% service fee added)
I will provide post-dated cheques for the desired term
Interac e-transfer
Online bank payment (available through BMO, HSBC, Scotia Bank, or any credit union)
I understand that the fee for the Writing Workshop at FAx is non-refundable:
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