ESAE ESL/Citizenship Online Registration Card Spring 2021
ESL/ELL Please take time to complete the information below.
* Required
Email address
*
Your email
Student Registration
*
New Student
Returning Student
Required
For Returning Students: SCHOOL Student ID# (9 #s)
Your answer
Name: First & Middle
*
Your answer
Name: Last
*
Your answer
Address: Street
*
Your answer
City
*
Your answer
State: CA
Zip Code
*
Your answer
Primary Contact Number
*
Your answer
I would like to enroll in the following CLASS TIME
*
Choose
ESL Morning (9:45 am - 12:00 pm)
ESL Afternoon (12:30 pm - 2:45 pm)
ESL Evening (6:15 pm - 8:30 pm)
Citizenship Morning (9:45 am - 12:00 pm) OAC ONLY
Citizenship Evening (6:15 pm - 8:30 pm) OAC ONLY
Computer Literacy Afternoon (12:30 pm - 2:45 pm)
I would like to enroll at the following LOCATION
*
Choose
Overfelt Adult Center - OAC (AM/AFT/EVE)
Independence Adult Center - IAC (AM/AFT/EVE)
Andrew Hill (EVE CLASS ONLY)
Distance Learning (Study at home)
Alum Rock Library - ARL (AM CLASS ONLY)
Tully Community Library - TCL (AM CLASS ONLY)
Franklin-McKinley (FES) - (AM CLASS ONLY)
Do you need to borrow a Chromebook computer
*
Choose
Yes
No
Thank you for completing our online registration. To be officially registered in a class, please come to one of our office locations to determine your English proficiency and to be placed in the program or put on the waiting list. Please click submit below.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of East Side Union High School District.
Report Abuse
Forms
