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HOME PAGE | THE BOARD OF TRADE | GETTING INVOLVED | OPERATION BACK TO SCHOOL - REGISTRATION FORM FOR SCHOOL
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Operation Back to School

 

THIS ACTIVITY WILL TAKE PLACE FROM MARCH 1 TO APRIL 30, 2012

 

REGISTRATION FORM FOR SCHOOL

REGISTRATION DEADLINE: FEBRUARY 17, 2012

 

Please fill one form for each group.

Confirmation will be sent by email.
You must contact the speaker before and after the conference to give details and comments.

 

Information:
Julie Desjardins
jdesjardins@ccmm.qc.ca
Telephone: 514 871-4000, ext. 4047

 

School name or organization*:
Address*:
City*: Postal code*:
Metro station
(if very close):
Contact person*:
Is this person a: Teacher    Guidance Counsellor
Youth Fusion Intern    Community Worker    Other
Telephone number where you can easily be reached*:
(Example: 514 123-1234)		           Ext.:
Email*:

Group ID:
Subject taught*: French as a second language    Math    English    Geography
History and civic education    Arts
Physical education and health education    Moral and religious education
Science and technology    The world of today, economics
Personal orientation project, career training exploration, introduction
       to entrepreneurship
Number of students in the group:

Teacher’s name (if different from the contact person):

Grade/year:

Language of presentation:

 French      English
Place a checkmark next to
the class profile:		 Regular    Enriched     Special needs    Dropout     Multicultural
Type of visual and multimedia aids available to the speaker: PowerPoint presentation    Interactive white board (SMARTBoard)
Overhead projector and acetates    Television (DVD or cable for photos)
No visual or multimedia aids available
Would you like to be visited by a speaker corresponding to a particular profile?

If yes, which of the following?

 

Entrepreneurship    Engineering    Science
Mathematics    Culture    Arts and letters
Other
(To be specified in Comments and details about the presentation’s box)
Please note that while we will do our best to meet your request, we cannot guarantee that the speaker will correspond to the requested profile.
Indicate three dates and times you are available:  
Date, 1st choice:
Time: (Example:
from 7:30 am to 2 pm)		 from     to
Date, 2nd choice:
Time: from     to
Date, 3rd choice:
Time: from     to
How did you hear about operation
Back to School? :		 The Board of Trade’s Website    Letter    Email
Colleague or friend
School counsellor    School principal
Other
Comments and details about
the presentation:

 

  * : obligatory

 

 

 
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