Hillside Public Library - English Learning Interest Form

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Email *

First Name / Nombre de pila / premye non *

Last Name / apellido / ti non *

Telephone Number / número telefónico / nimewo telefòn *

Are you age 18 or over? / Èske ou gen plis pase 18 an? / ¿Tienes más de 18 años? *

This group is for adults only.

Yes / Sí / wi

No / non

Best Day For Class / el mejor día / pi bon jou? *

Monday / lunes / lendi

Tuesday / martes / madi

Wednesday / miércoles / mèkredi

Thursday/ jueves / jedi

Friday/ viernes / vandredi

Saturday / sabados / samdi

Required

Best Time / mejor momento? / pi bon moman? *

Mornings / por la mañana / nan maten (10 am - 12 noon)

Afternoons / por la tarde / nan apremidi(12 noon - 2 pm)

Evenings / de noche / nan aswè a (6 pm - 8 pm)

Required

A copy of your responses will be emailed to the address you provided.

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