"Two Languages/One Community" Literary Workshop Registration Form
Thank you for your interest in participating in the Two Languages/One Community program. Please complete the short questionnaire below. Questions with red asterisk are required.
Email address *
Name *
Your answer
Phone number (must provide either phone or email at a minimum)
Your answer
E-mail address (must provide either phone or email at a minimum)
Your answer
Do you currently live or work in Oakland? *
Required
Zip code
Your answer
Are you over 55 years old? *
Do you speak or write Chinese? *
Required
Are you a writer by profession or as a hobby?
Please check the boxes if you are able to attend the following Friday workshops at OACC (388 9th St., Suite 290 Oakland, CA 94607) from 1-2pm? *
Required
Why are you interested in participating in the Two Languages/One Community workshop series? *
Your answer
How did you hear about this program?
Other questions or comments
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Oakland Asian Cultural Center. Report Abuse - Terms of Service