Roots of Empathy Expression of Interest 2018

Fields marked * are required.

School:*

Principal:*

School Address:*

E-mail:*

Phone:*

Mobile:*

No. of programmes required:*

No. of Years in ROE Programme:*

Instructor required?:*
School staff can take on the role of RoE Instructor in your school, as long as they do not have full-time class responsibilities. There is no cost for this programme.

If you have an instructor, please provide their contact info (address, email, phone/mobile):

Proposed class level:*

Class teacher’s name:*

Class Teacher's Email:*

Questions - We will answer these when we follow up with you about your interest:

Family/Baby required?:*
Does your school have a family/baby in mind for 2018 RoE or would you need help to secure?

If you have a family in mind, please provide their contact info (address, email, phone/mobile):

Verification*

Please enter in the word you see below: