Women In Charge ESL Student Application

The Women In Charge's ESL program provides free English language classes to adult immigrants and refugees. Our classes can be one-on-one or in small groups, at the Women In Charge office in University City, at a public library/ restaurant, or online. Both men and women are welcome to enroll. If you are ready to make a serious commitment to your education and attend your classes regularly, the first step in the process is to submit this application form electronically. Once we get your application, you will be contacted to come to our office for a placement test. Based on your test result and your preferences, you will be paired up with one of our teachers and your classes will start. For more information, email us at esl@womenincharge.org

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First name *
Middle name (Optional)
Last name *
Address *
City, State *
Zip code *
Phone *
Email *
Contact preference *
Required
How did you hear about us? *
What language(s) do you speak at home? *
Can you read and write in your native language? *
How do you rate your English language knowledge? *
What is your availability for ESL classes? (Each session lasts approximately 60 to 90 minutes.) Choose all that apply. *
Required
Which day(s)? Choose all that apply. *
Required
I prefer to have a *
I prefer to participate in *
I can participate in *
Required
Anything else you'd like to share with us regarding your ESL needs/goals? (Optional)
Date *
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