Manitoba School Improvement Program

 

MEMBERSHIP APPLICATION

SCHOOL or SCHOOL DIVISION
Making a Strategic Investment in Youth

 

Name and Address Information:
*School or Division Name:
*Street Address:
*City:
*Postal Code:
*Telephone #:
Fax # :
Contact Person:
Email:

 

Payment is no longer required for membership applicatons.

 

Individual Names of PAK Member Applicants

APPLICANT 1

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 2

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 3

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 4

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 5

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 6

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 7

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 8

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 9

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

APPLICANT 10

Full Name:
Street:
City:
Postal Code:
Email:
Phone:

 

Once you submit this form, a new window will open confirming your application submission.