English as a Second Language Interest Form

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Email *

First name *

Last Name *

Mobile Phone Number *

Can we text you on your mobile phone number? *

Yes

Please select class times you can attend. You can select all that apply and we will let you know when each of those sessions begin. *

Monday and Wednesday mornings from 10:00 am - 12:30 pm

Tuesday and Thursday mornings from 10:00 am - 12:30 pm

Monday and Wednesday evenings from 6:00 - 8:00 pm

Tuesday and Thursday evenings from 6:00 - 8:00 pm

Saturday from 10:00 am - 1:00 pm (Not all levels are offered on Saturdays)

Required

Would you prefer to attend classes virtually? *

Yes

Maybe

Please choose the option below that best describes your level of English. *

I do not speak or understand any English.

I understand some English, but I do not know how to speak.

I understand a lot of English and can speak some English.

I understand almost everything I hear and I speak a lot of English.

I understand and speak English very well, but I want more practice with conversations.

Send me a copy of my responses.

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