Literacy Leadership Registr...

Literacy Leadership Program
Registration Form

Sign up today to confirm your spot in an upcoming Literacy Leadership Program cohort. We do not accept registrations once the program has reached capacity. If you are able to register below, then we still have spaces available in the upcoming cohort. Please note there is a $35 registration fee which is non-refundable. The fee will be put towards your fundraising total.

Start your journey as a Literacy Leader today!

PLEASE NOTE: We are now accepting applications for our Fall Cohort scheduled to begin in October 13th, 2021. Classes will take place on Wednesdays at 4:30pm Pacific Time/ 7:30pm Eastern Time via Zoom.

Basic Information

First Name

Last Name

School/ Institution

Phone Number

Education for 2021 /2022 School Year

Province

City

Parent/ Guardian Information

For applicants under the age of 18

Parent / Guardian First Name

Parent / Guardian Last Name

Parent/ Guardian Email

Parent/ Guardian Phone Number

About You

Why are you registering for this program?

Tell us about yourself.

How do you hope to benefit from this program?

I agree to theProgram Terms & Agreement

I have read and agree to Create Change'sPrivacy Policy

I understand my registration fee is non-refundable.

I want to subscribe to Create Change's newsletter.

Literacy Leadership Program Registration Form

Basic Information

Parent/ Guardian Information

About You

Your registration application has been received! You will hear back from us about next steps in 3 - 5 business days.

Literacy Leadership Program
Registration Form

Your registration application has been received!

You will hear back from us about next steps in 3 - 5 business days.