Registration – STEM Bilingual Champions

REGISTRATION - STEM Bilingual Champions

STEM Bilingual Champions

Registration Form

Good Day,

Thank you for your interest in the second cohort of our STEM Champions Bilingues Program.

We will confirm your registration once you paid the $100 processing fees. Please proceed within 72 hours of submitting your application by E-transfer to communication@ecoambassadeurs.ca

Do not hesitate to consult our STEM Bilingual Champions page, and the FAQ section

section for more information.

By participating in this program, you agree to follow all ten scheduled workshops and related activities.

Best regards

The EcoAmassadeurs team

www.ecoambassadeurs.ca

Name

First Name

Gender

Male Female Non Binary Other

First Official Language

French English

Other languages spoken

Age

Population Group

Province

City

Postal Code

Grade

Name of the School

Location of school (province)

Location of school (city)

Does your child have any previous coding experience?

Yes No

Does your child have any particular needs that we should be made aware of?

Yes No

Special notes and/or requests

I agree to follow all the workshops on the following 10 Saturdays: (January 21 and 28, 2023); (February 4, 11, 18 and 25, 2023); (March 4 and 25, 2023); (April 1 and 8, 2023)

Please select a time slot

10AM - 11AM EAST 11:30 AM - 12:30 PM EAST

Name

First Name

First language

French English

Mobile Phone

Note: Place confirmed only after payment of 100$ registration fee -- Send an electronic transfer to communication@ecoambassadeurs.ca or a postal check.

I agree to participate in all 10 workshops because places are limited

Yes No

Thanks to

Our Sponsor

EcoAmbassadeurs is a non-profit organization providing services in the areas of health, education, business and ecology.

Contact: communication@ecoambassadeurs.ca