Malden YMCA ESOL
Join the Malden YMCA for a free Beginner, Adult English Class (English for Speakers of Other languages). Learn from an experienced ESOL teacher in a supportive environment for a 24 week period.

Please fill out this information form for the Malden YMCA ESOL class that will be starting, January 9th and ending June 21st. Classes will be held from 6:00 pm to 8:30 pm.

 Introductory class for those with no English speaking skills or very little English speaking skills (speak less than 10
English words)
 FREE to participate
 Everyone 19 and older is welcome, No Barriers
 Must commit to attend all the classes with no more than 3
absences. *exceptions may be approved by the instructor

If you are filling this form out for someone else, please allow the potential student to attempt to complete the test with no help. If the student does not understand any questions, the student can leave it all blank. Thank you.

Email address *
Please mark one of the following *
If you are helping to fill out this form for someone else, please write your name, phone number, and email so we can contact you if we have any additional questions.
First Name (Person taking the class) *
Last Name *
Best Contact Phone Number *
Birthdate *
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DD
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Address *
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