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Julie's Family Learning Program Interest Form for Adult Basic Education and Family Development
Are you interested in classes for adult basic education? We offer two program options so you can reach your educational goals.  

Please fill out this form and we will get back to you as soon as possible!

If you have any issues with this form, please text 617-297-7828 or email registration@juliesfamily.org.

Julie's Family Learning Program
133 Dorchester Street
South Boston, MA 02127

https://www.juliesfamily.org/
https://twitter.com/JuliesFamily
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Email *
Full Name *
Phone number *
Can we text you? *
Required
What is the best way to communicate with you? *
Required
Street address *
City *
Required
Zip Code *
What time can you attend classes? 
(Check all that apply.)

*Please keep in mind that many students who are in our hybrid classes take longer to complete their High School Equivalency than in-person students.
 *
Required
Do you have a computer? 
(If you plan on taking hybrid classes, you will need a computer to learn successfully.)
 *
Required
Date of Birth (Month/Day/Year) *
What was the last grade you completed? *
Have you taken Adult Basic Education/GED/HiSET Classes before? *
Required
Do you work? *
Required
What are your work hours?
Do you need childcare for an infant or toddler? *
Required
What kind of family supports do you need? (Please check all that apply.) *
Required
How did you hear about our program? *
Required
Do you have any questions for us?
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