Hi,
how to modify the registration form fields to the following,
Student Name:
Age:
Grade:
School name:
City:
1st TimeZone: : 2nd TimeZone: : Example: +10:00 (For city and timezone, please input right information to allow the system can work as well.)
If your child’s school needs confirmation of enrollment in this course, School Contact information section below must be completed.
Parent [or Guardian]
Parent/Guardian Name:
Email address:
Home mailing address:
(Please no P.O. box addresses. Course information may be mailed to this address)
Mentor information (you should have a mentor in mind before submitting this application)
Mentor name:
Email address:
(Mentor name and email address is REQUIRED. Course information will be mailed to this email address)
The above information is required for enrollment and is subject to verification by The School. Access to the course will be immediately discontinued, without refund, if found to be false.
The School provides a limited (single user temporary and/or once-through only) license to access the web site and instructional videos. Appropriate use of the suggested follow-up activities and the quality of client-contracted mentorship is beyond their control; therefore, no warranty beyond the repayment of the cost of the license accompanies product usage.
The student is being evaluated by the above-named mentor toward an opinion on student sincerity and the extent of effortful participation demonstrated, and it is understood that the opinion of the mentor will be the sole basis for issuance of a The School Certificate of Completion and seal of ‘Full & Faithful Participation’ upon completion of the course (no ‘Notice of Completion’ will be issued if the student does not fully complete the course within the 30-day time frame permitted). A change of mentor will require re-enrollment.
School Contact information (this section optional unless this student’s school requests The School enrollment confirmation):
Principal name:
Email address:
School phone number: (
)
By clicking the SUBMIT button below, you confirm that you are the parent or guardian named above and that you have read, understood, and agree to all statements and terms shown above, and that all information entered is complete and accurate.
Thank you for your application. Information for submitting payment of course fee will be forthcoming by email, upon approval of application.
Upon receipt of application and payment, further course information (as pdf files) and an access code will be sent to the above Parent [or Guardian] email address, and mentor materials and information (also as pdf files) will be simultaneously sent to the above Mentor email address. Once you have received the access code, the student should share the code with the mentor and they may begin the course.
Choosing a Mentor for Your Child
Choosing a good mentor is central to your child’s success in the course. We recommend a mature adult having a background as an educator, school psychologist, spiritual or educational counselor, or coach. It’s preferable that the mentor is…
Not a family member
Neither a family friend nor a complete stranger… someone known to you and your son in a friendly but professional capacity
Not the child’s current classroom teacher(s)
Someone of the same gender as the student
Currently employed as an educator, school psychologist, spiritual or educational counselor, or coach
Mentors should receive payment for their time, as with the contracting of an academic tutor. Most frequently, they are recruited from among the child’s own school faculty with the help of school administration.
