Local Coordinator Information/ Student Registration Form

Required fields are marked with [r] and must be completed.

Your Contact Information


Postal Address Information

Please provide an address where assignments can be sent to for distribution to the students.

  • Province/State:


The Students' Information

NOTE: We expect students to be able to communicate using written English or written French, unless other provisions have been made.

We need a minimum of four (4) students and a maximum of six (6) students for a course.

Student 1 [r]

Select the language(s) the student is proficient in [r]):


Student 2 [r]

Select the language(s) the student is proficient in [r]):


Student 3 [r]

Select the language(s) the student is proficient in [r]):


Student 4 [r]

Select the language(s) the student is proficient in [r]):


Student 5

Select the language(s) the student is proficient in [r]):


Student 6

Select the language(s) the student is proficient in [r]):



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