On-Line Registration is CLOSED. We are registering for the Spring 2018 semester at the church, on Wednesday, Jan. 17th, 6:30-8:30 pm, 2320 Anderson Ave., Manhattan, KS
Conversational English student status
Last Name (family name)
Nickname (the name your friends call you)
Local street address
Home Phone No.
Cell Phone No. (do you text?)
Nationality (home country)
Are you a K-State student?
If yes, what is your department?
What degree are you pursuing at K-State
Spouse's First Name
Spouse's Last Name (family /given name)
Does your spouse work?
If yes, what is your spouse's occupation
Is your spouse attending K-State?
If yes, what department & degree?
Do you have children?
If you have children please list their names, gender and ages (for example: Mary, female, 6; John, male, 8, etc.)
How long have you been in the USA?
Less than a month
1 month to 1 year
More than 1 year
What is your highest level of education and major?
What is your religion?
Which English class do you wish to attend?
Conversational English Bible Class
Are you willing to have your picture used for Conv. English purposes within the church only?
How did you hear about Conversational English
H.I.S. (Helping Int'l Students)
On the Web
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