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Korean Language and Cultural Education Institute (KLCEI) Registration for 2018-2019
Email address *
Student Last Name / 학생 성명 (영어로) *
Your answer
Student First Name / 학생 이름 (영어로) *
Your answer
Student Korean Name (if any) / 학생 한국 이름
Your answer
Date of Birth / 생년월일 *
MM
/
DD
/
YYYY
Gender (성별) *
School Grade in Fall 2018 (가을학기 학년)
Street Address (집 주소) *
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City / Town (도시) *
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State (주) *
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Zipcode (우편번호) *
Your answer
Home Phone (집 전화번호) *
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Years attended a Korean School (한글학교 다닌 년수)
Your answer
Years attended KLCEI (우리한국학교 다닌 년수)
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Last class attended at KLCEI / Teacher (지난 학기 반 / 선생님)
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Korean Skill Level - Understanding / 한국어 알아듣기 실력 *
Do not have ability / 전혀 할수 없음
Have good ability / 잘 할수 있음
Korean Skill Level - Speaking / 한국어 말하기 실력 *
Do not have ability / 전혀 할수 없음
Have good ability / 잘 할수 있음
Korean Skill Level - Reading / 한국어 읽기 실력 *
Do not have ability / 전혀 할수 없음
Have good ability / 잘 할수 있음
Korean Skill Level - Writing / 한국어 쓰기 실력 *
Do not have ability / 전혀 할수 없음
Have good ability / 잘 할수 있음
Other comments (알릴 사항)
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Please indicate any allergies (알레르기)
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Parent / Guardian / Other Contact 1 (부모님 성함 1)
Your answer
Cell phone number 1 (핸드폰 1)
Your answer
E-mail address 1 (부모님 이메일 1)
Your answer
Parent / Guardian Name 2 (부모님 성함 2)
Your answer
Cell phone number 2 (핸드폰 2)
Your answer
E-mail address 2 (부모님 이메일 2)
Your answer
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