welcome to english class - Safeharbor Christian Church

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WELCOME TO ENGLISH CLASS
(If you need help filling out Registration Form, please let one of our volunteers know)
Date (Fecha)
______________________________________________________
First Name (Nombre)
______________________________________________________
Last Name (Apellido)
______________________________________________________
Sex (Sexo)
Male
Age (Edad)
___________
Address (Domicilio)
______________________________________________________
Female
City, Zip Code (Ciudad) ______________________________________________________
Phone # (Teléfono)
______________________________________________________
Email (Correo Electrónico)____________________________________________________
Country of Birth(País de origen) _______________________________________________
First Language (Primer idioma)________________________________________________
Do you read/write in first language?
(Lee y escribe en su primer idioma)
What other languages do you speak?
(Qué otros idiomas habla?)
Yes
No
_______________________________________
How long have you been in U.S.?
_______________________________________
(Hace cuánto vive en Los Estados Unidos?)
How did you hear about this class?
(Cómo se enteró de nuestras clases?)
_______________________________________
What class level are you interested in? Beginners
(En qué nivel está interesado?
Principiantes
Intermediate
Intermedio
Advanced
Avanzado)
TEST RESULTS:
Intermediate
Advanced
Beginners
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