Abot Tala Membership Application

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At Abot Tala our focus is on individuals and their particular strengths, needs, and goals. We'd like to get to know you better so we can help you design your education, hence this form.

The first section may be filled up by the member or the parents (or both). The second section is for parents only. The third section is for member's only. It may seem a lot, but we'll make sure it's worth it. :) Don't worry, whatever information you provide us will be kept confidential.

Shall we start?

Email *

THE TEEN MEMBER

The next set of questions is all about the member. The parent or member may fill up this part.

Name *

Nickname

Date of Birth *

YYYY

City you live in

Cellphone

Grade school attended

High school attended

If you are a homeschooler already, please indicate who your provider is if you have one and if you are following a certain curriculum

When are you interested to begin at Abot Tala? *

THE PARENTS

We want to get to know you as well, parents.

Mother's Name

Occupation

Cellphone

Father's Name

Occupation

Cellphone

How did you hear about us? *

A friend told me about Abot Tala

My teen told me about Abot Tala

Facebook

Instagram

Other:

Which homeschool provider would you like to have? *

Gopala Learning Haven (Abot Tala's partner provider)

We'd like to use another homeschool provider

We're not interested in getting a provider. We'd like to go indie and our child will just take the PEPT or the SAT when needed.

We're undecided

If you chose "We'd like to use another homeschool provider" in the question above, who will you use as your provider?

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