Academic Writing Coaching
Academic Writing Coaching at FAx is offered in-person or remotely one day per week for 50 minutes at a cost of $125 per session.
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STUDENT INFORMATION
Student first name: *
Student last name: *
Student date of birth: *
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Current Grade: *
Student contact number: *
Contact email for student: *
Please indicate any medical information or allergies (if this does not apply, please type n/a): *
PARENT/GUARDIAN INFORMATION
Parent first name (adult learners enter n/a): *
Parent last name: *
Address: *
Phone number: *
Email: *
Alternate parent/guardian/caregiver - name, relationship, email and phone number: *
Emergency contact - name, relationship, email and phone number (cell and work): *
Please indicate any medical information or allergies (if this does not apply, please type n/a): *
How did you hear about this service? *
LEARNER PROFILE
For what reasons are you and your child seeking academic writing assistance? *
Describe areas of strength: *
Relationship to Fraser Academy: *
Areas of writing development: *
Please check all that apply:
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PREFERENCES AND CONSENT
Day(s) of session requested: *
Time of session(s) requested:
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Term requested: *
Use of image:
Please select one of the following payment options: *
I understand that the fee for the Academic Writing Coaching sessions at FAx is non-refundable: *
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