BCYF Blackstone Community Center
Application for Parent English Classes (Please note: Classes will be remote and in-person this year.)
Date *
First Name *
Last Name *
Street *
City *
Zip Code *
Date of Birth *
Gender *
Phone Number *
Email Address
Where are you from? *
What year did you come to the United States? *
What is your first language? *
Last grade in school completed in your country? *
Check the level that is you? *
What is your occupation? *
Do you work full time or part time? *
How many children do you have? *
How many children go to school in Boston? *
What are the names of the schools your children attend? *
Year of Birth Child #1 *
Year of Birth Child #2 *
Year of Birth Child #3 *
Year of Birth Child #4 *
Class days are Tuesday, 9:30am - 12:30pm (online) AND Saturday, 9:30am - 12:30pm (in person).
Do you need child care for the Saturday (9:30am-12:30pm) in-person class? *
Comments or questions
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