Registration form.

The STATERS Honours Program is a “student-led” innovative and transformative program, designed to empower young minds by helping students between the ages of 8 and 17 develop a wide range of essential life skills. This program is a comprehensive journey that guides students through experiences tailored to their unique interests and strengths.

As part of your registration, please carefully read the Honours Program Terms and Conditions before proceeding. Understanding the terms and conditions ensures a smooth and transparent experience with the STATERS Honours Program.

Registration form

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Registration form .

SECTION 1 - PERSONAL DETAILS

Full Name

First Name

Last Name

Middle name

Class

Age

Date of birth

YYYY

Program operator

Choose your school from the list below. If your school is not listed here, choose other and enter your school name and address in the questions below.

Name of school

Enter your school name if your school is not listed above as a program operator.

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

SECTION 2 - HONOURS PROGRAM LEVEL

Is this your first time participating in the Honours Program?

Yes

Previous Honours level completed

If you chose "YES", select none and proceed to the next question. If you chose "NO" select your previous Honours Level from the dropdown list below.

Honours level registering for

Select "Half Honours." from the dropdown list below if you chose "YES". If you chose "NO" you will be notified of your next Honours Level via your email address.

SECTION 3 - ACADEMIC DARE

What is the Academic Dare?

Your child's (students) input is crucial when selecting each subject. Please have them complete this section to provide the most accurate details.

Providing the subject's teacher contact helps us process your child's (student) application for the Honours Program efficiently. Leaving it empty. may delay your child's enrollment in the program.

Choose the first subject for your academic DARE

Name of subject teacher

Subject teacher's email

Teacher's phone number

Country

(###)

###

####

Choose a different second subject for your academic DARE (this will help you complete your academic DARE faster)

Name of subject teacher

Subject teacher's email

Teacher's phone number

Country

(###)

###

####

Choose a third subject, different from your first and second choice

Name of subject teacher

Subject teacher's email

Teacher's phone number

Country

(###)

###

####

SECTION 4 - HONOURS PROGRAM INQUIRIES

We're curious too... let us know your thoughts

How did you hear about the Honours Program?

Reasons for enrolling in the Honours Program

Have you participated in similar programs before? (specify)

SECTION 5 - PARENT/GUARDIAN INFORMATION

Every child needs adult supervision… we need a grown-up’s-go-ahead.

Name

First Name

Last Name

Phone

Country

(###)

###

####

Home address

Students will be provided with necessary materials upon enrollment. Please make sure to provide a valid residential address for the delivery of these materials. This ensures that the materials reaches your child (student) at the specified location, especially if they are unable to receive them in school.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

SECTION 6 A- PARENT DECLARATION & CONSENT

As the parent/guardian of the registering student, I have read, understood, and agreed to all the terms and conditions outlined in the STATERS Honours Program agreement. I know the program's requirements, expectations, and potential challenges. I consent to my child's (student's) participation in the program and agree to support them in meeting their obligations. I understand that my child (student) should abide by all program rules and regulations and conduct themselves respectfully. I also consent to using my child's (student's) personal information in line with the program's privacy policy. By signing this declaration, I confirm my commitment to the STATERS Honours Program and my willingness to support my child's (student's) participation.

Do you consent to your child's (students) registration?

Yes

By clicking this, I agree to the Honours Program's terms and conditions

I agree

SECTION 6 B- STUDENT DECLARATION

I know the program's requirements, expectations, and potential challenges. I commit to abiding by all program rules and regulations and to conduct myself in a manner that is respectful, ethical, and in line with the STATERS Honors Program's values. Failure to comply with these terms and conditions may result in disciplinary action or termination of my participation. By signing this declaration, I confirm my dedication to the STATERS Honors Program and my willingness to adhere to its standards of excellence.

By clicking this, I agree to the Honours Program's rules and regulations

I agree