AESL Cohort Interest Form Schneider/Grover

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Please complete the form below to begin the registration process for the Pierce College Accelerated ESL Cohort Program.

You will be signing up for the following cohort:
<table width="100%">
<tr>
<td style="background-color: #d4d7d8; padding-left: 5px;" valign="top">Class</td>
<td style="background-color: #d4d7d8; padding-left: 5px;" valign="top">Units</td>
<td style="background-color: #d4d7d8; padding-left: 5px;" valign="top">Times</td>
<td style="background-color: #d4d7d8; padding-left: 5px;" valign="top">Days</td>
<td style="background-color: #d4d7d8; padding-left: 5px;" valign="top">Room</td>
<td style="background-color: #d4d7d8; padding-left: 5px;" valign="top">Instructor</td>
</tr>
<tr>
<td style="padding-left: 5px;" valign="top">English 85</td>
<td style="padding-left: 5px;" valign="top">5</td>
<td style="padding-left: 5px;" valign="top">4:00PM - 6:35PM</td>
<td style="padding-left: 5px;" valign="top">MTWTh</td>
<td style="padding-left: 5px;" valign="top">NGYM 5600</td>
<td style="padding-left: 5px;" valign="top">Schneider</td>
</tr>
<tr>
<td style="padding-left: 5px;" valign="top">English 86</td>
<td style="padding-left: 5px;" valign="top">5</td>
<td style="padding-left: 5px;" valign="top">4:00PM - 6:50PM</td>
<td style="padding-left: 5px;" valign="top">MTWTh</td>
<td style="padding-left: 5px;" valign="top">NGYM 5600</td>
<td style="padding-left: 5px;" valign="top">Schneider</td>
</tr>
<tr>
<td style="padding-left: 5px;" valign="top">Speech 113</td>
<td style="padding-left: 5px;" valign="top">3</td>
<td style="padding-left: 5px;" valign="top">7:00PM - 10:00PM</td>
<td style="padding-left: 5px;" valign="top">Th</td>
<td style="padding-left: 5px;" valign="top">Village 8112</td>
<td style="padding-left: 5px;" valign="top">Grover</td>
</tr>

</table>
<center>Submitting the form does not guarantee you a space in the program. You must attend the orientation on August 20, 2012 @ 2:30 – 4:00 in the Great Hall. You will receive your add cards for the courses at the orientation. </center>

BACK TO LEARNING COMMUNITY WEBSITE: http://faculty.piercecollege.edu/success/LCSuccess.htm

First Name *

Last Name *

Student ID Number *

This is your 88 Number. Please type the entire number beginning with 88.

Email Address *

We will use this to update you on your registration and provide you with information on your next steps.

Telephone Number *

Please choose the option that applies to you: *

I took the assessment test and placed into English 85.

I passed English 84 with a grade of "C" or better.

I am currently enrolled in English 84 this Spring 2012 semester.

Other:

Have you ever taken Speech 113 - English Speech as a Second Language? *

I have never taken Speech 113.

I have taken Speech 113 and passed the course with a "C" or better.

I have taken Speech 113 but did not pass the course.

Other:

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