Prospective Student form
Welcome to Indy Reads! Thank you for filling out this form.
What is your name? *
What is your native language? *
What is your email address? *
What is your phone number? *
Are you 18 years old or older? *
How did you hear about Indy Reads? *
Do you want to get a job or better job? *
What class subject do you want to join? *
What kind of class can you join? *
How far did you go in school? *
Do you any of the following apply to you? (check all that apply) *
Required
When can you come to class? (check all that apply) *
Required
Do you have internet/wifi at home? *
Which item(s) listed do you have? (check all that apply) *
Required
Are you enrolled in any other adult education classes? *
Do you have any medical conditions we need to be aware of for your safety? *
Has COVID-19 affected your job, household, or family this year? *
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