Partner Schools Application Form

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Partner School/Organization Application

Name of School/Organization

Address of School/Organization

Name of School/Organzation Point of Contact

Email of School/Organization Point of Contact

School/Organization Email

School/Organization Phone Number

Age range of students

School/Organzation Mission Statement

How would you like to integrate EAISP courses? Please select all that apply

During regular school hours

After school

Weekends

From our course catalog, which EAISP courses is your school/organzation interested in offering to students?

If not found in our course catalog, please list any additional courses that your students are interested in taking with EAISP :

Thank you for your application! An EAISP advisor will reach out to your school regarding course scheduling and selection.

Contact Us

Telephone

301-570-0999

Email

Address

4032 Blackburn Lane

Burtonsville, MD 20866

NOTICE OF NONDISCRIMINATION POLICY AS TO STUDENTS

Echelon admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.