JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Welcome to McLit!
Please fill out this form with information about you and we will get back to you as soon as we can!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name (first and last)
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Are you a refugee?
*
Yes
No
Gender
*
Female
Male
Non-binary
Other:
Address
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Emergency contact name and number
*
Your answer
Native language
*
English
Spanish
Hmong
Dari
Arabic
French
Burmese
Swahili
Pashto
Other:
What are you looking to study?
*
Your answer
Highest level of education
*
No education
Elementary/middle school
High school
High school diploma
GED
Technical school/trade school
Associate's degree
Undergraduate degree
Graduate degree
Other:
Disabilities or concerns to learning?
Your answer
Are you okay with a...
*
male tutor
female tutor
Required
How many hours per week would you like to practice?
*
Your answer
When are you available?
*
Monday morning
Monday afternoon
Monday evening
Tuesday morning
Tuesday afternoon
Tuesday evening
Wednesday morning
Wednesday afternoon
Wednesday evening
Thursday morning
Thursday afternoon
Thursday evening
Friday morning
Friday afternoon
Friday evening
Weekends
Required
If weekend availability, please write more information below.
Your answer
How did you hear about us?
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of McLit - Marathon County Literacy Council.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report