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Scholarship Entry
Please complete this form for your chance to win full or partial scholarship for the 2019 Summer Bootcamp! Winners will be notified BY April 15th. Questions: email
info@criticalthinkingchild.com
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Email
*
Your email
ENTER BY MARCH 31ST 5PM CENTRAL
Parent Entry Form
Name
*
Your answer
Email
*
Your answer
State
*
Your answer
Phone
*
Your answer
Child's Age
*
Your answer
Child's Grade Level (Fall 2019)
*
Your answer
Please tell us how this program would benefit your child. Include academic and social emotional or test prep goals as applicable.
*
Your answer
Please select the drawbacks that has prevented you from currently registering your child for our summer program?
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Distance ( bootcamp is located in Chicago's South Loop)
Schedule Conflict - Dates and Times
Tuition fees
Grade Level not offered ( or child is too young)
Curriculum ( not sure if it is a good fit or if my child is ready for accelerated learning)
Unclear about the program offerings
Required
Have you attended our bootcamp program in the past?
*
Yes
No
How did you hear about our program or company?
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Your answer
Are you or your spouse a first responder, teacher or University Professor?
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Yes
No
Other:
If you were the recipient of a scholarship will your child attend the program this summer?
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Yes
No
Maybe
Our program may include educational content posted on social media. Which social media or video outlets do you utilize most often?
*
Facebook
LinkedIn
Twitter
Pinterest
Google +
Instgram
Youtube
Vimeo
Required
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