ESAE ESL/Citizenship Online Pre-Registration Card for Adult Education

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ESL/ELL Please take time to complete the information below.

Email *

Student Registration *

New Student

Returning Student

Required

Language Proficiency Level (If new student check the Not Applicable box). *

Pre Lit

Beginning Low

Beginning High

Intermediate Low

Intermediate High

Advanced Low

Not Applicable (New Students must be tested, make appointment)

Required

I would like to register for the following session *

First session - June 7 - July 2, 2021 at IAC

Second session - July 6 - July 30, 2021 - OAC

Both session, if possible

Required

Returning Students: SCHOOL Student ID# (9 #s)

Name: First & Middle *

Name: Last *

Address: Street *

City; *

State: CA

Zip Code *

Primary Contact Number *

I would like to enroll in the following class *

ESL Morning (9:00 am - 12:00 pm) HYBRID ( 2 days in person & 3 days via zoom)

Citizenship Morning (9:00 am - 12:00 pm) HYBRID ( 2 days in person & 3 days via zoom)

ESL for Early Childhood Development (ONLINE)

ESL Distance Learning (9:00 am -12:00 pm) (ONLINE & once a week teacher check-in)

ESL Morning BL & BH (9: 45 am - 12:00 pm) REMOTE (5 days via Zoom)

ESL Morning IL & IH ( 9:45 am - 12:00 pm) REMOTE ( 5 days via Zoom)

Santa Clara Office of Education ESL Class

Required

Do you need to borrow a Chromebook? *

Yes

Required

Thank you for completing our online registration. For CURRENT students, you will receive notification about the class. For NEW students to be officially registered in a class, please come to one of our office locations to determine your English proficiency and to be placed in the program or put on the waiting list. Please click submit below.

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