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2. Project Literacy Student Registration

   Project Literacy provides free classes taught by professional ESOL teachers and conversation circles led by native English speakers. Classes will be held virtually via Zoom. All classes require advance registration. Complete this form and click "submit" to send your information to Project Literacy. Once we receive your form, a staff member will contact you.

4. Name*
6. Street Address*
7. Town*
8. Zip Code*
10. Phone Number*
11. Email Address*
13. Birthdate*
    Birthdate
14. Gender
16. What languages do you speak?*
17. How many years have you been speaking English?*
19. Country of Origin
20. How long have you been in the United States?
22. Do you have children under 18?
23. How old are your children?
25. What education did you receive in your home country?

    1. Elementary School
    2. Middle School
    3. High School
    4. University
27. What is your job?
28. Do you work full-time or part-time?

    1. Full-Time
    2. Part-Time
30. What are your interested in?*

    1. Morning Literacy Classes
    2. Evening Literacy Classes
    3. One-On-One Literacy Tutoring
32. When do you have free time?
33. 9 AM - 12 PM

    Check the box if you are available:

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
    8. Any Day
34. 12 PM - 6 PM

    Check the box if you are available:

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
    8. Any Day
35. 6 PM - 9 PM

    Check the box if you are available:

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
    8. Any Day
37. Do you have access to a computer?*

    1. Yes
    2. No
38. Do you have a library card?*

    1. Yes
    2. No
39. Do you work in Watertown?

    1. Yes
    2. No
41. Who told you about Project Literacy?
42. English-Speaking Contact (if needed)
44. Please write something about yourself, your interests, or your goals.*
    Please don't get any help to write this!
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field