Teacher, Site Coordinator or Other School Staff Registration (Part 1 of 2)

Required fields appear in bold.

Contact Information

First Name:
Middle Initial:
Last Name:
Title/Position: Please be specific (e.g. Math Teacher.)
E-mail: You will receive program-related e-mails.

Personal Information

Your address is for Ford PAS staff only and may be used to send you program information during non-school months. This information will never be shared with third parties. Click here to read the privacy policy.

Home Address 1:
Home Address 2:
City:
State/Province:
Zip Code:
Country:
Work Phone:
Home Phone: Format: xxx-xxx-xxxx
Fax: Format: xxx-xxx-xxxx

Ford PAS Questions: How Did You Discover Ford PAS?:

I am registering as: ("Other School Staff Member" includes principals, guidance counsellors, etc.)

Do not include spaces or characters other than A-Z and 1-9. Username and Passwords are Case-Sensitive.

Username:
Password:
Re-type Password:
May we add you to the Ford PAS Directory? (Viewable by Ford PAS members only.)