Email address (if applicable) : Last school attended
Transcription
Email address (if applicable) : Last school attended
FORM FOR ENROLMENT FOR MELS EXAM REWRITES IN JULY/AUGUST 2014 PERSONAL INFORMATION Family Name: First Name: Telephone number: Email address (if applicable) : Last school attended : Year last attended : EXAM INFORMATION Exam title: Exam code: Date of exam: School in which the exam will be taken : Signature of student: SEND TO LOUISE JONCAS (CSL CHEVERY) email: [email protected] Fax: 418-787-2348 RÉSERVÉ À LA DIRECTION Inscrit le : Par: Versé dans Charlemagne le: Expédier une copie aux services éducatifs à l'attention de Debbie Foltin Revised June 2014