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English Conversation Group Registration
Please fill out this form to register for ESL (English as a Second Language) Conversation Group hosted by International Friendship Ministries. We will contact you about class information after you complete this form.
If you have any questions, please call us at 706-653-0097 or email us at
office@ifmga.org
.
* Indicates required question
Email
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Your email
First Name & Last Name (Nombre y Apellido)
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Your answer
Phone number (Teléfono celular)
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Your answer
Address, City, State, Zip (Dirección, Ciudad, Estado, Código Postal)
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Your answer
Native Language (Lengua Materna)
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Your answer
Country of Origin (País de orígen)
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Your answer
Gender (Sexo)
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Male
Female
Birth date (Fecha de nacimiento)
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MM
/
DD
/
YYYY
Job / School (Trabajo / Colegio)
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Your answer
Religious background (Religión)
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Your answer
Do you attend a church? (Asiste a una iglesia?)
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Yes
No
If yes, what is the name of the church? (¿Cómo se llama la iglesia?)
Your answer
Have you studied English before? (¿Ha estudiado inglés antes?)
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Yes
No
If yes, how long did you study English and what is your English level? (Si es así, ¿cuánto tiempo estudió usted inglés y cuál es su nivel de inglés?)
Your answer
Why do you want to learn English? (¿Por qué quiere usted aprender inglés?)
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Your answer
How did you hear about our English classes? (¿Cómo se enteró sobre nuestras clases de inglés?)
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Your answer
Questions or Comments (Preguntas o comentarios)
Your answer
Send me a copy of my responses.
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