ABE Student Enrollment Form
For adults 18 and up who speak English
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Email *
Where do you want to take classes?                                                                                                                                                                         *
First Name: *
Last Name: *
Mobile Phone (format:  xxx-xxx-xxxx) *
To which gender do you most identify? *
How old are you? *
Ethnicity *
Address: *
Apt.#
City: *
ZIP: *
County *
Emergency Contact Name: *
Emergency Contact Phone Number: *
Number of people in household: *
Family Annual Income: *
I currently work ___ *
How did you hear about us? *
ABE classes are FREE for adults. I understand that Literacy Council WILCO requests that students donate $25 a year to pay for books and supplies. Can you donate $25? *
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