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US Citizenship Class
RLC conducts background checks on students and tutors and reserves the right to refuse service or volunteer involvement with RLC. By completing this application, you consent to the background check.
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Email
*
Record my email address with my response
What session do you want to attend?
Fall 2025
Spring 2026
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First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Telephone
*
Your answer
Email
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Nonbinary
Required
Race
*
Hispanic
Not Hispanic
Ethnicity
*
Asian
Black/African American
Hawaiian/Island Pacific
Native American
White
Multi-racial
Required
Native language:
*
Your answer
Birth Country:
*
Your answer
Current Citizenship:
*
Your answer
Date you anticipate to take the citizenship exam:
*
MM
/
DD
/
YYYY
Do you speak English?
*
Choose
Yes
No
Are you employed?
*
Yes
No
Type of employment
Full
Part
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Employer name:
*
Your answer
Do you qualify for Foodshare?
*
Yes
No
Are you a W2 recipient?
*
Yes
No
Do you need information about Foodshare or W2 benefits?
*
Yes
No
Send me a copy of my responses.
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