Teacher Form

If you are interested in participating in this exciting new program, please take a few moments to fill out this form. All the information you give is confidential and is only made available to members of the Aim Higher program.

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  1. Please provide the following contact information:

    Name
    School
     Subject/s Taught  
    Grade
    Work Phone & ext
    FAX
    E-mail

     

  2. How are you planning to integrate Aim Higher into your subject area?

  3. What workplace learning program would you be interested in?

    Field Trips
    Speakers in the classroom
     Work Experience (1-2 days)
     Structured Workplace  Experience (1-2 days)
     Other



  4. Will you give the Western Quebec School Board permission to make this information available to our business partners on the My Destiny web site?

    Yes No

Miss Kelly Butler - Career Education Consultant.
Copyright © 2003 [The Western Quebec School Board]. All rights reserved.