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

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
Family Commitments
Written work will be submitted in Microsoft Word format in a timely manner.
All of the written work submitted for evaluation is the student's own and the work of others is cited appropriately.
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, plagiarism, and late or missed assignments. (see program standards)

I Agree
Click SUBMIT to choose a payment plan.

Basic Skills Assessment & Educational Services		Voice: 503.650.5282	Fax: 503.650.8578
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