Lucia Mar Adult Education: Citizenship Registration Form 
US Citizenship classes will begin on October 17th.  Registration is open throughout the year, you can sign up at anytime.

Classes will be held at the Oceano Learning Center located at 1551 17th Street Room 33, Oceano.  

Classes will be held every Tuesday and Thursday from 6:00pm - 8:00pm.


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Email *
First Name *
Last Name *
Email Address
*
Primary Phone number
*
Birthdate
*
MM
/
DD
/
YYYY
Gender
*
Address (number, street name, apt. number) 
*
City
*
Zip Code
*
Ethnicity
*
What is your native language?
*
What is your country of origin? 
*
Employment Status
*
Number of Children in K-12
*
Highest Level of Education Completed
*
Are the above from outside the U.S.?
*
Entry Status

*
Required
Goals (may choose more than one)
*
Required
Barriers (may choose more than one)
*
Required
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