KIPP MA Adult and Community Learning 2022 Registration Interest Form.

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This is an Interest Form for our 2022 classes that starts from January - May 2022. Please note you will be notified if you are accepted into a class or if you will be added to a waitlist due to limited seats.

Este es un Formulario de interés para nuestras clases de 2022 que comienza de enero a mayo de 2022. Tenga en cuenta que se le notificará si lo aceptan en una clase o si lo agregarán a una lista de espera debido a los asientos limitados.

Sa a se yon Fòm Enterè pou klas 2022 nou yo ki kòmanse nan mwa janvye - me 2022. Tanpri sonje si yo aksepte w nan yon klas oswa si yo pral ajoute w nan yon lis datant akòz plas limite.

Email *

Date-Fecha-dat *

YYYY

First Name - Nombre - Premye Non *

Last Name - Appellido - Siyati *

What is your native language? - Cuál es tu idioma nativo? - Ki lang natif natal ou? *

Spanish

Haitian Creole

Other:

Home Address - Direccion de casa - Adrès lakay *

City and State - Ciudad y Estado - Vil ak Eta *

Email Address- Direccion de correo electronico - Adrès Imèl *

Home Phone Number - Numero Telefono de la casa - Nimewo Telefòn Kay *

Cell Phone Number - Numero Telefono de celular - Nimewo Telefòn Selilè *

How did you hear about us? Como escucho de nosotros? - ki jan ou te tande pale de nou? *

Level of Education Completed? -¿Nivel de educación completado? - Nivo Edikasyon Konplete? *

Elementary School - escuela - lekòl primè

Middle School - escuela intermedia

High School - escuela secundaria - Lekòl segondè

College - Universidad - kolèj

Please select the classes that you would like to take - Por favor selecciona la(s) clase(s) que le qustaria tomar - Tanpri chwazi klas ou ta renmen pran yo. *

English as a Second Language Levels 1 - Clases de Ingles niveles 1 - Angle kòm dezyèm lang Nivo 1

English as a Second Language Levels 2 - Clases de Ingles niveles 2 - Angle kòm dezyèm lang Nivo 2

English as a Second Language Levels 3 - Clases de Ingles niveles 3 - Angle kòm dezyèm lang Nivo 3

English as a Second Language Levels 4 - Clases de Ingles niveles 4 - Angle kòm dezyèm lang Nivo 4

Why are you taking this English Class? - ¿Por qué estás tomando esta clase de inglés? - Poukisa w ap pran kou angle sa a? *

To complete an ESOL program - Para completar un programa de ESOL - Pou konplete yon pwogram ESOL -

Pursue a GED - Para obtener una licencia y una certificación de carrera - Pouswiv yon GED

Pursue career license and certification - Pouswiv lisans karyè ak sètifikasyon

Pursue College - Para asistir a la universidad - Pouswiv kolèj

To communicate with my family - Para comunicarme con mi familia - Pou kominike ak fanmi mwen

Other

Required

Which location are you interested in attending? - ¿A qué lugar estás interesado en asistir? - Ki kote ou enterese ale? *

In-Person in Boston - En Persona Boston - An pèsòn nan Boston

In-Person in Lynn- En persona Lynn - An pèsòn nan Lynn

Required

Comments/ Comentarios/kòmantè *

A copy of your responses will be emailed to the address you provided.

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