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English as a Second Language (ESL) Fall 2019 Registration
Registration: Tuesday, 7-9 pm, August 13 and Wednesday, 9-11 am, August 14
Classes Begin Tuesdays, 7-9 pm, August 20-November 5 and Wednesdays, 9-11 am, August 21-November 6
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Name:
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I am a:
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New Student
Returning Student
Street Address:
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City:
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State:
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GA
Other:
Zip Code:
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Date of Birth:
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DD
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YYYY
Email Address:
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Phone Number:
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Your answer
Country of Origin:
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First Language:
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Your answer
I would like to attend sessions on:
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Tuesday, 7 PM - 9 PM
Wednesday 9 AM - 11 AM
Would you need childcare? If so, please list your children's names and ages.
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Yes
No
If yes, please list your children's names and ages.
Your answer
Have you taken any other ESL classes?
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Yes
No
If yes, where?
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Where did you hear about ESL Class?
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Faith Website
Friend
Oconee Schools
Jeff Thompson (RUFI)
UGA
Library
Other:
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