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Teacher Assistant Training
Welcome! This form will give us the information we need to register you in our Teacher Assistant Training class.
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Our next classes will start on November 9, 2020. Which class are you interested in?
Teacher Assistant Training. It meets Mondays through Thursdays from 9:00 am to 12:00 pm, November 9-December 18, 2020.
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Our class this Fall might be taught online if we cannot meet in person. If class is online, here is a list of what you would need. Please check the items you have:
Computer, laptop, or tablet
Camera and audio for videoconferencing
Phone
Google Chrome
Social Security Number
Your answer
Last Name
Your answer
First Name
Your answer
Middle Initial
Your answer
Street Address
Your answer
City
Your answer
State
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Zip Code
Your answer
Primary Phone Number (XXX-XXX-XXXX)
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Emergency Phone Number (XXX-XXX-XXXX)
Your answer
Cell Phone Number (XXX-XXX-XXXX)
Your answer
Prefer Text Message?
Yes
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E-mail Address
Your answer
Date of Birth (Month, Day, Year)
Your answer
Age
Your answer
Gender
Male
Female
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Maiden Name
Your answer
Ethnicity
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Hispanic (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)
Other (Not Hispanic)
Race (If Ethnicity is "Other", choose one of these
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African American
American Indian
Asian
Pacific Islander
White
Native Country (leave blank if USA)
Your answer
U. S. Citizen? (We gladly serve everyone.)
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Yes
No
Have you attended MCCSC Adult Education classes before?
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Yes
No
Medical concerns we should be aware of:
Your answer
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