NEW Student ESL Application
WAKE TECH ESL CLASSES FOR NORTH CAROLINA RESIDENTS ONLY
1. Complete this application for online English classes.
2. Click Submit.
3. We will contact you to complete registration.
Last Name (Family Name)
First Name (Given Name)
Address (Street, City, State, ZIP code)
What county do you live in?
Email address (Gmail preferred)
Date of Birth (Month/Day/Year)
Do you need HELP with this form?
Hispanic / Latino
Non-Hispanic / Non-Latino
American Indian / Alaska Native
Black or African American
Hawaiian / Pacific Islander
Did you go to school in the United States?
How many years of school did you complete?
High School Graduate / Grade 12 completed
High School equivalency graduate
Adult High School graduate
Some post-secondary educaiton, no degree
Post high school vocational diploma
Master degree or higher
Certificate of attendance / completion of IEP
Do you work?
Yes (more than 35 hours/week)
Yes (less than 35 hours/week)
No (but I want to work)
No (but I don't want to work)
Did you study English at Wake Tech before?
What location did you attend?
Beltline Education Center (BEC) AM
Beltline Education Center (BEC) PM
Beltline Education Center (BEC) Saturday
North Campus AM
North Campus PM
West Campus AM (Cary)
West Campus PM (Cary)
West Campus Saturday (Cary)
Athens Drive High School
Garner United Methodist Church (AM)
Garner High School (PM)
Hispanic Family Center (HFC)
Knightdale Recreation Center
White Plains United Methodist Church
What is your English level?
Can you start online classes in July?
When do you want to have class?
MORNINGS (Monday-Friday)(July start)
EVENINGS (Monday-Thursday)(July start)
SATURDAYS (Mornings)(August start)
CITIZENSHIP (August start)
What will you use for online class?
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