Student 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.

  1. Please provide the following contact information:

    Name
    School
    Home Address
    Address (cont.)
    City
    Postal Code
    Work Phone
    FAX
    E-mail

     

  2. What field of work interests you?

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

    Work Experience (1-2 days)
     Structured Workplace Learning (1 week to 2 months)

  4. How old are you?

  5. What grade are you in?

  6. 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

  7. Please attach a resume which will be displayed in our archives. This archive will be made available to Aim Higher business partners.

       

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