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AACA Program Interest Form (ESL First Step)
Thank you for applying to AACA's First Step Basic English Class!
Class Date:
10/07/2024 - 12/27/2024
Monday, Tuesday, Wednesday, Friday
Class Time:
Level Basic: 10:30 AM - 12:30 PM
Level 1/2: 8 AM - 10 AM
Class Fee:
$385
For more information, please check our website:
https://www.aaca-boston.org/first-step
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* Indicates required question
Email Address
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Telephone Number
*
Your answer
I am interested in the following program
*
First STEP ESOL - Beginner English to communicate effectively in your community and at work
Required
How did you learn about AACA? (Check All Boxes)
*
Flyer
Poster
Facebook
Tiktok
Twitter or X
Instagram
WeChat
DTA
Youtube
Google Ads
Website
Newspaper Ads
ABCD
Tufts
Career Center
Advertisement
Family
Friends
Career Fair
Housing Agency
Other Agencies / Organizations
Walk in
Phone in
Other:
Required
How should we contact you?
*
Please specify your contact preferences
Telephone
Email
Text
Currently Employed?
*
Choose
Employed Full-time
Employed Part-time
Retired
Migrant Seasonal Farm Workers
Unemployed(Short term, 6-months or less)
Unemployed(Long term, more than 6 month)
Unemployed(Not in Labor Force)
City/Country of Birth
*
Choose
Afghanistan
Africa
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Congo-Brazzaville)
Democratic Republic of the Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czechia (Czech Republic)
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (formerly Swaziland)
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine State
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
What languages do you speak?
*
Albanian
Amharic
Arabic
Bengali
Burmese
Cape Verdean
Chinese Cantonese
Chinese Mandarin
English
Farcey
French
Gujarati
Haitian-Creole
Hindi
Nepalese
Pashto
Portuguese
Russian
Spanish
Swahili
Ukrainian
Vietnamese
Gender
性别
Sèks
*
Man
Female
Non-binary, gender non-conforming, or genderqueer
Gender Identity Not Listed
Prefer Not To Say
Other:
Time Spent in US
在美生活时间
Depi kilè ou Ozetazini?
*
Less than 1 year
1-3 years
4-6 years
7-9 years
Over 10 years
Are you confident with your English?
您对英语的自信程度?
Ou alèz lè ou pale Anglè?
*
Very confident
Confident
Less confident
No confident
Not sure
Other:
Do you want to take an Online Test to determine your English level?
您是否愿意做在线英语测试确定您的英语水平?
Ou vle pase yon tès pou nou wè ki nivo ou?
*
If you choose yes, the next page will be the online test, and it will take 10 - 15 mins.
如果您选择Yes,下个页面将会是在线英语测试,您将用10 - 15分钟的时间来完成。
Si ou di wi, ou ap jwenn
t
è
s la nan paj apre a, li dire 10-15 minit.
Yes
No - You'll be enrolled in Level 1 class automatically
Do you want to have a 6-min phone interview?
您是否愿意进行6分钟的电话谈话确认您的英语水平?
Ou vle fè yon entèvyou 6 minit nan telefòn?
*
If you choose yes, please
click here
(Monday/Tuesday)
to schedule your phone interview on Monday/Tuesday,
click here
(Wednesday/Friday)
to schedule on Wednesday/Friday. One of our teachers will call you at the scheduled time.
如果您选择Yes,请
点击此处(周一/周二)
预约谈话时间,
点击此处(周三/周五)
预约谈话时间。
Si ou chwazi wi,
tanpri klike sou (Lendi/Madi)
pou ou pran yon entèvyou telefòn ou Lendi/madi,
klike sou (Mèkre/Vandredi)
pou w pran yon randevou pou Mèkredi/Vandredi. Youn nan pwofesè nou yo ap rele ou nan lè ou pwograme a.
Yes
No
I know this class is
in-person
我知道这是线下课程
M' konnen klas la se an p
è
s
ò
n
*
Yes
I know the class location is at
我知道课程地点在
M' konnen klas la ap f
è
t la
*
87 Tyler St., Boston, MA 02111
I know the class total cost is $385 includes everything.
我知道课程费用是$385
M konnen klas la ak tout sak ladan l koute antou $385
*
If you'd like to pay online please
click here
to finish your payment. If you prefer in-person payment, please visit 87 Tyler St, 02111.
点击此处
完成线上付款,如果您想要线下付款,请到我们办公室
87 Tyler St, 02111.
Si ou ta renmen peye anliy tanpri klike la a pou fini peman ou. Si ou prefere peye an pèsòn, tanpri vini nan lokal nou 87 Tyler St, 02111
Yes
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