JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
HHELP Student Application
This form is an application for participating in the Hope House English Language Program.
Sign in to Google
to save your progress.
Learn more
Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Mailing Address
Your answer
Date of Birth
MM
/
DD
/
YYYY
Country of Origin
Your answer
Date of arrival in United States
MM
/
DD
/
YYYY
What languages do you speak?
Your answer
Are you able to read and write? In what languages?
Your answer
How many years of school have you attended?
I have not attended any school.
I have attended less than 6 years of school.
I have attended between 6-12 years of school.
I have attended some university classes.
I have a university degree.
I have a master's or doctorate degree.
Clear selection
What was your job before coming to the United States?
Your answer
If you are currently working, what is your work schedule?
1st shift mornings and afternoons
2nd shift afternoons and evenings
3rd shift overnight
Other:
Clear selection
Do you know your current English level?
Level 1
Level 2
Level 3
Level 4
Level 5
Level 100+
Other:
Clear selection
If you don't know your current English level, which level do you think is best for you?
Beginner - I know very little English
Intermediate - I am able to speak and read some English.
Clear selection
Do you have a computer at home?
Yes
No
Maybe
Clear selection
Do you have a device to access the internet?
Yes
No
Maybe
Clear selection
Do you know how to use WhatsApp?
Yes
No
Maybe
Clear selection
What's your WhatsApp handle name?
Your answer
Do you know how to use zoom?
Yes
No
Maybe
Clear selection
How did you find out about HHELP?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hope Acts.
Report Abuse
Forms
