Basic Skills Assessment & Educational Services 503-650-5282 Located in Oregon City Oregon

New Covenant Christian Academy's
Becoming an Effective Writer Program
ENROLLMENT FORM
(all fields required)

Student's First Name

Student's Middle Name

Student's Last Name

Current Grade

Date of Birth (dd/mm/yyyy)

Present Age

Address

City

State ZIP

Course Level

If you are uncertain which course to choose, please follow instructions on our Free Introductory Offer

Phone

Father/Guardian Name

Mother/Guardian Name

Father/Guardian Alternate Phone

Mother/Guardian Alternate Phone

Please add any additional comments regarding your student's writing ability which might be helpful (optional)

STANDARDS AND COMMITMENTS
Basic Skills (for Beg/Int courses)	Family Commitments
We will provide the above named family with:	Checking the box below confirms that you have read, understand, and agree to follow the program standards as they relate to accreditation, high school credit, and plagiarism. (see program standards)
One written evaluation per session	All of the written work submitted for evaluation is the student's own and the work of others is cited appropriately.
One 15-20 minute phone conference per session	Written work will be submitted in Microsoft Word format at least 3 days prior to each meeting.
High school credit through NCCA upon completion of the intermediate course
	I Agree
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Basic Skills Assessment & Educational Services		Voice: 503.650.5282	Fax: 503.650.8578
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