English Language Learning Class Registration
Welcome! This form will give us the information we need to register you in our English Language Learning classes. If you have translated this form into a language other than English, you might have to return to the English form to answer the questions. Thank you!
Our next classes will start on September 28, 2020. Which class are you interested in?
ESL Level 1 Beginners. It meets Mondays, Tuesdays, Thursdays and Fridays from 8:30 to 11:30 am.
ESL Level 2 High Beginners. It meets Mondays through Fridays from 8:30 to 11:30 am.
ESL Level 3 Intermediate. It meets Mondays through Fridays from 12:15 to 3:15 pm.
Business English (ESL Level 4). It meets online Mondays through Fridays from 8:30 to 11:30 am through distance education (videoconferencing and software).
English for Early Childhood Education (ESL Level 5). It meets Mondays through Fridays from 12:15 to 3:15 pm.
Microsoft Office (ESL Level 3-5). It meets online Mondays, Tuesdays, Thursdays and Fridays from 12:15 to 3:15 pm through distance education (videoconferencing and software).
Indiana Online Only. Class meets through distance education (videoconferencing and software).
Our class this Fall might be taught online if we cannot meet in person. If class is online, here is a list of what you would need. Please check the items you have:
Computer, laptop, or tablet
Camera and audio for videoconferencing
When a teacher meets with you the first time:
I will not need a translator who speaks English.
I will already have a translator who speaks English with me.
I will need a translator who speaks English.
I am unsure about my need for a translator.
Social Security Number
Primary Phone Number (XXX-XXX-XXXX)
Emergency Phone Number (XXX-XXX-XXXX)
Cell Phone Number (XXX-XXX-XXXX)
Prefer Text Message?
Date of Birth (Month, Day, Year)
Hispanic (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)
Other (Not Hispanic)
Race (If Ethnicity is "Other", choose one of these
Native Country (leave blank if USA)
U. S. Citizen? (We gladly serve everyone.)
Have you attended MCCSC Adult Education classes before?
Medical concerns we should be aware of:
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This form was created inside of Monroe County Community School Corporation.