Online APPLICATION for ESL Classes
You are applying for a TUITION-FREE English class that meets 5 days a week, Monday-Friday in the day time.
1) What is your name? (Last name, First name) Example: Jobs, Steve *
Please use two names only. Give your LAST (family) name first, and then write your FIRST name. Please write the name that you want people to call you in the class. Write ONE last name and then write ONE first name separated by a comma.
Your answer
2) What is an email address that you check frequently? *
Your answer
3) What is your date of birth? (mm/dd/yr) Use slashes / / to separate mm/dd/yr *
Please write the month, then day, and then year (So please write 02/15/81 for February 15, 1981). We need to know that you are 21 years or older. Please use slashes //. Please do NOT use dots like this: 2.15.81. Also please do NOT use dashes like this: 2-15-81. Please REMEMBER you were NOT born in 2018!
Your answer
4) What is your mobile phone number here in the USA? *
Enter numbers in this format: 212-555-5555 (with dashes after area code and first 3 numbers)
Your answer
5) I certify that I am completing this application by myself in English without any friends or family translating it for me. *
If you cannot understand this application alone, then our advanced classes are too hard for you. We do not offer beginners classes.
6) You must have a NYC address (Any of the 5 boros such as Manhattan, Queens, Brooklyn, etc) to apply for my classes. Do you have a NYC address? *
We cannot accept people with New Jersey addresses. You must have a NYC address when you come in to be evaluated for my classes.
7) What is your first language? *
It is helpful to your progress to have a variety of first language speakers in the class. That is, you will learn faster if there is greater diversity in the class.
Your answer
8) What other languages do you speak fluently? Please list. *
It is helpful to balance the speakers of different languages in the class to promote diversity.
Your answer
9) What is the highest level of school you have completed?
10) On scale of 1 to 10 how much do you want to improve your listening skills? *
11) On scale of 1 to 10 how much do you want to improve your speaking in English? *
12) On scale of 1 to 10 how much do you want to improve your grammar?
13) How interested are you in using history to improve your English? *
14) On scale of 1 to 10 how comfortable are you with computers?
15) Please check what you use to access the Internet in NYC (check all that apply) *
It is helpful for your progress in English if you have regular access to the Internet in order to do your homework and to prepare for, and review, the lessons.
Required
16) Which class do you prefer? *
Required
17) I understand I must attend at least 80 percent of the classes in a month. *
Although the classes are free, you are expected to take them seriously. Please find another class if you will not come regularly. We have several vacations; please see the school calendar later to arrange your schedule around our days off.
18) What is your expected date to leave the class? Minimum stay should be 3 months in the class. *
On approximately what date will you live the class go you guess? Minimum stay should be 3 months in the class.
Your answer
19) How did you find out about the classes? *
Your answer
20) Did a friend tell you about the classes? If so, what is his or her name? *
Your answer
21) Please tell me something about yourself. Write a minimum of 50 and a maximum of 100 words. (Hobbies? Job? Dreams? Plans?...) *
Who are you? What do you do? What did you study before in school or college? What are your hobbies/interests? Why do you want to improve your English? (Please write this yourself without any help). Answering this question helps me to understand how you might fit in my classes and whether this class can help you.
Your answer
22) Will you be attending another school during the period that you be in our classes, such as another ESL program, college, etc? *
I want to know if you will have any schedule conflicts or if you will be too busy to attend my class. Every year some people try to go to college and my class at the same time and it almost NEVER works out and the students quit...please think carefully how much time you have. My classes meet almost 20 hours a week and although my day classes are FREE, I am strict about attendance. It is NOT all right to be absent when you get busy in another school/college.
Your answer
23) Are you working now? If so, please write your work schedule. *
I want to know if your work schedule will interfere with the class schedule. The class is almost 20 hours a week which is a serious commitment. And students are expected to arrive on time and not leave early.
Your answer
24) I understand and agree that parts of the classes may be video recorded or photographed and that I might appear in the videos or photos and that these might appear online on youtube channel or blogs or other social media for educational and promotional purposes. *
We will be making many kinds of projects in the classes and some will involve video and photographs. In addition, parts of the classes might be recorded to let people know about what we do in our classes.
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