Project CLAIR Center Registration Form
Co-operative Language Assistance for Immigrants and Refugees
Center Name
*
Representative Name
*
Prefix
First Name
Last Name
Email
*
example@example.com
Time Zone
*
Student Information
*
Name
Native language
Birth Year (YYYY)
Gender
(Optional)
Approximate level of English proficiency
Available Time & Days [M ~ S]
Preferred # of sessions per week *ex) 2
Preferred gender of a tutor
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Signature
Additional Information
**Any information you share with Project CLAIR via this form will be kept strictly confidential and will not be shared or sold to any third party. All information provided on this form will be used for our Tutor Matching Service (TMS) to assign best-matching tutors for students.
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