Accreditation at a value...
BEST Club Overview
       Bringing Elders and Students Together

Thank you for your interest in the BEST club. Please fill in the following information. If you prefer to print out this form and mail it in, please click here.

I agree to meet with a WCU student for at least three (3) sessions, of about 1 - 1 ½ hours each, and I am willing to complete an evaluation survey about the sessions. I understand that my evaluation will have no bearing on the student's grade for the course and will instead be used to document the effectiveness of the project.

I understand that I will be matched with a WCU undergraduate social work student, who may be of a different gender or race. I understand that the student will have had a police check (Act 34) and a child abuse clearance (Act 151) and that the student will have a picture ID to show me when they come to my home.

I will participate in the WCU project for Social Work Education. Yes     No

First Name:     Last Name:  
Address:
City:     State:     
Zip:
E-mail Address:
Daytime Phone: ()--  ext. 
Age:
     * I prefer interviews during:    the day     the evening (between 5-9 pm)



(Please click on the Submit button only once.)

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