Technology Support Application


Technology Support Application

 

Full Name of Child:

Date of Birth:

School Enrolled in:

 

Parent/Guardian Full Name(s):

Home Address:

 

 

Occupation:

Are you a Canadian Citizen:

Phone Number:

Relationship to Child:

Email Address:

 

 

 

 

 

Secondary Parent:

Phone Number:

Occupation:

 

The child above is enrolled in . Currently in Grade  

Parental Explanation

Student Essay

Income Verification

Which documents are being attached:  

Student Verification

 

Termination

This application may be terminated at any given time by either party. If the applicant is not reachable upon designated scheduled communication (call or meeting) the application may be withdrawn immediately.

 

APPROVED TERMS AND CONDITIONS  

AGREED TO PRIVACY POLICY  

Leave this empty:

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Signed by Catherine Turner
Signed On: April 19, 2021


Signature Certificate
Document name: Technology Support Application
lock iconUnique Document ID: e574cc52c8ccd729215c43d0c2680449271ca99c
Timestamp Audit
April 18, 2021 12:00 am MDTTechnology Support Application Uploaded by Catherine Turner - admin@stepup4kidz.ca IP 207.102.106.84