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Curso de HiSET Springfield
Student registration form (Formulario de registro del estudiante)
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* Indicates required question
Email
*
Your email
Today's date (Fecha de hoy)
MM
/
DD
/
YYYY
Name and Last Name (Nombres y apellidos)
Your answer
Gender (Género)
Male (Hombre)
Female (Mujer)
Clear selection
Native Language ( Idioma nativo)
Español
Inglés
Other:
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Native Country (País de origen)
*
Your answer
Address (Dirección)
Your answer
City (Ciudad)
Your answer
Zip Code (Código postal)
Your answer
Telephone (Teléfono)
*
Your answer
Birthday (Fecha de nacimiento - mes/ día /año)
*
MM
/
DD
/
YYYY
Do you attend a church? (¿Asiste a alguna iglesia?)
Yes (si)
No
Clear selection
Which church? ¿Cuál iglesia?
Your answer
A copy of your responses will be emailed to the address you provided.
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