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Welcome to The Reimagined Learning Community.
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20
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1
How did you hear about Re-imagined Learning Centre?
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2
What Attracts You Most To Re-imagined Learning Centre?
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3
Student(s) Name, Age, & Birth-date.
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Parent Email
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5
Parent(s)/Guardian(s) Name
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6
Address
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Street Address
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City
State / Province
Postal / Zip Code
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Netherlands
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New Caledonia
New Zealand
Nicaragua
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Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
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Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
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Somalia
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Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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7
Phone Number
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Area Code
Phone Number
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8
Re-Imagined Learning Centre is an environment where students of every age are free to direct their learning projects and activities, yet this freedom comes with responsibilities. I understand that I am expected to: 1) Participate in community meetings, 2) Clean up after yourself and help clean up together to end each day. 3) Take care of our tools, our space, and each other. 4) Respect yourself and all people. 5) Participate in resolving conflicts. 6) Help in making our days happy, fun, and safe.
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I understand and agree to these responsibilities.
I do not understand and disagree to these responsibilities.
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9
Describe what you liked or disliked about your past schooling if you have subscribed to a school.
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10
What are your main goals for your learning and education?
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11
What would make you a good student for Re-imagined Learning Community Student?
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12
I understand that Re-imagined Learning provides a real-world learning environment for students to develop self-direction, self-motivation, and self-knowledge and as such never requires students to attend specific classes or produce specific work. The learning centre and facilitators will support young people's requests, curiosities, and affinities for learning, but does not direct learning activities according to a standardized curriculum. For the smooth operation of the Centre, the Center Culture may make certain activities mandatory (currently these are: morning meetings, end-day meetings, portfolio creation, GROW Voices, clean-up, and/or appearing for conflict resolution meetings, and fire drills) -- beyond these, the choices are up to each child.
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I understand and support and agree to this philosophy and level of freedom.
I do not understand and do not support and agree to this philosophy and level of freedom.
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13
What do you do to reach your child? To comfort them? To make them feel safe?
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14
Why do you think Re-imagined Learning Centre will be a good fit for your child's learning needs?
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15
Tell us about your child. Personality? Challenges? Interests?
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16
Describe your child's prior schooling. Please include names/dates/schools attended/reason for leaving.
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17
All families are required to offer at least 20 hours of volunteer time throughout the course of the year. These volunteer opportunities can include joining a committee (legal, fundraising, events, admissions, marketing, etc.), teaching a class or workshop, assisting with field trips, or assisting with projects.
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I agree to volunteer at least 20 hours with Re-imagined Learning Community.
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18
I understand and acknowledge that families at Re-imagined Learning Community contribute different donation amounts based on their self-determined financial means. I understand and acknowledge that Re-imagined Learning Community is committed to building a Community Supported Education model and I am choosing to contribute to that model with this donation offer.
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I understand and acknowledge
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19
Tuition is based on a sliding scale between R700 to R3000 per month and Deposit = R1500. For part-time subscribers, the daily rate is between R70 to R200 per day. (Please feel free to communicate with us if the minimum amount can not be met. We value you and your family and are more than willing to find alternative means of contribution.)
Bank Details: First National Bank , Account name: RE-IMAGINED LEARNING CENTRE Account number: 62654430314 Branch. Campus Square Account Type : Cheque
I agree to pay Application fee and deposit as i wish to become a full time member.
I am a part time member or visitor.
I would like to speak on other means in which my family/I can make a contribution.
Other
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20
What is a minimum donation amount that you can commit to monthly?
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21
Thank you for taking the time to fill in our form , please leave any questions or comments below and we will get back to you soon.
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