BASE11 2022 Registration Form

Value-added progress measured over Year 11.

* indicates required item

Name of school *

School address *

Postal code *

School ID (Ministry Number) *

School email address *

Phone *

Phone ext

Fax

Principal *

YELLIS coordinator *

Coordinator email address *

Number of students *

Number of administration packs required *

Student Attitude and Engagement Survey (SAES)*

Yes No

Our school will also register for the Student Attitude and Engagement Survey (SAES)

(online survey administered in Term 3 at an additional cost)

I have read and accept the CAM (NZ) Terms and Conditions.

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