English Classes - Student Registration Form

Name

First Name

Last Name

Local Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Local Phone Number

(###)

###

####

Email Address

What languages do you speak?

What is your level of English comprehension?

Intermediate: I can have a short conversation, but don't understand everything. I am not able to have a full conversation. Advanced: I can have a full conversation, but face challenges with idioms and expressions. I am looking to enhance my comfort and fluency.

Summer classes run for 10 consecutive weeks (June 21st - August 25th) and we have 4 time slots for classes each week on Tuesday and Thursday mornings. Please indicate which classes you'd like to register for.

Tuesday, 9:30 - 11:00

Thursday, 9:30 - 11:00

Tuesday, 11:00 - 12:30

Thursday, 11:00 - 12:30

Are you planning on attending the FULL 10 week session (June 21-August 25th)?

Please Note: If you are NOT able to attend the full 10 week session, you can still attend for the dates you are available! Please tell us the dates you will be able to attend

Please indicate the date you would like to START classes

YYYY

Please indicate the date you would like to END classes

YYYY

Are you currently a student, scholar, teacher or researcher? What best describes you?

Are you affiliated with any of the following schools?

What is your current work or occupation?

Country of Citizenship

Your current citizenship - if more than one country, please list all

Country of Origin

Where were you born?

What is your age?

Gender

What is your current USA residency status?

How long do you plan on being in Rhode Island?

Have you received vaccination for Covid-19?

In the fall 2021, we will be requiring proof of vaccination for our in-person classes and activities.

How did you hear about us?

After you click submit, we will review your registration and send you an email in the next 1-2 business days to confirm availability in the classes you requested. You will then receive a link to make a payment to complete your registration.