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ESL Pre-Registration
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* Indicates required question
Email
*
Your email
What class are you interested in?
*
ESL
Citizenship
Both
First Name Last Name
*
(Same as on ID, Passport, Green Card)
Your answer
Gender
*
Female
Male
Non-Binary
Date of Birth
*
MM
/
DD
/
YYYY
Social Security Number (SSN) - if no SSN type NA
*
Your answer
Home Address
*
Your answer
Phone Number
*
Your answer
Ethnicity
*
Asian
White
Black or African American
Filipino
Native Hawaiian or other Pacific Islander
Alaska Native
American Indian
Are you Hispanic or Latino?
*
Yes
No
What country were you born in?
*
Your answer
What language do you speak?
Your answer
How many years of schooling in your lifetime
*
Your answer
Most of school in home country?
*
50% or more
Yes
No
Highest Level Completed
*
GED or High School Equivalent
High School Diploma
Some College, No degree
AA/AS Degree
Technical Certificate
4 year degree
Graduate Degree
Other:
Highest level education completed in home country or United States?
*
Home Country
United States
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