Register for English Learning

There are several pages to this form and you must complete the form by advancing to the next pages using the buttons at the bottom.

Feel free to translate the page using the button at the very top of the page.

"*" indicates required fields

1Your English goals and background

2Your plan for learning English

3Your English preferences

4Your contact and other information

Your English learning background & goals

Please tell us about your experience with English and what you want to do. This will help us help you.

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Your English goals*

If you are willing, please tell us what your goal or goals are for learning English. It helps if you can be as specific as possible. For example, are you trying to improve your career? Or is communicating with family more important to you? Or perhaps you want more freedom and independence? Whatever your goal or goals are, please let us know.

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Your English goals*

Please tell us what your goal or goals are for learning English. You can select more than one.

Get a job

Get a better job

Make new friends

Communicate with family members who speak English

Be able to survive here (get food, transportation, etc.)

Citizenship

Entrance to higher education

Someone else wants me to

To use English outside of the United States

Something else

English Class Registration*

Yes. Please register me for English Learning Classes.

No. I'm not interested.

What other English learning opportunities are you interested in?*

We may not be able to fulfill every choice right away, but we can at least get you on a waiting list.

Outdoor activities (walking, sports, etc.)

Easy outdoor activities (picnic, walking, disc golf, bocce, playground, campfire, etc.)

Active events (sports, hiking, biking, running, kayaking, swimming, etc.)

English accent practice

Survival skills (shopping, license, etc.)

Reading club (book or articles)

Intellectual or philosophy (AI, intelligent design, justice, etc.)

Indoor activities (cooking, card games, board games, etc.)

Music (playing, live event, etc.)

Conversation Partner

Day trips (local or another city such as Athens, Colombia or Atlanta)

Overnight trips (camping, or overnight in another city, or long trip to national park)

English Bible reading or study (most famous English book of all time)

Review of your professional document or presentation

No other opportunities, I'm only interested in English classes for now

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If we're able to, would you be interested in joining Medical English Lessons in the future?*

Please note that we cannot promise to offer lessons specific to the topic.

Yes. Please sign me up!

No. I'm not interested.

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If we're able to, would you be interested in joining Business English Lessons in the future?*

Please note that we cannot promise to offer lessons specific to the topic.

Yes. Please sign me up!

No. I'm not interested.

Waiting list*

We have limited space in our ESL classes. So we may have to put you on a “waiting list” and tell you when we have space for you in your level and time of day. This can happen two ways: When you are first placed in a class, your level may have no more room. After you are placed in a class, if you miss classes, we may move you to the waiting list and give your space in class to someone else.

I understand.

How would you rate your English speaking ability?*

0 means can't speak English at all, 5 means can speak English very well.

How would you rate your English listening ability?*

0 means can't understand spoken English at all, 5 means can understand spoken English very well.

How would you rate your English writing ability?*

0 means can't write English at all, 5 means can write English very well.

How would you rate your English reading ability?*

0 means can't read English at all, 5 means can read English very well.

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Which English skill do you want to improve the most?*

If you want to improve them all the same amount, select "no preference"

Speaking

Listening

Writing

Reading

No preference

Your plan for learning English

How do you plan to grow in English?

Which do you think is more important for your growth in English?

Time in class

Time outside of class

How many days each week do you plan to practice English? (not counting time in class)

every day

On those days, how many hours do you plan to practice English? (not counting time in class)

every day

Your English learning preferences

Your preferences related to English classes.

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Want to improve your ability to learn English?

There are some ways to make learning English easier. Would you like us to send you a very short training course (5 minutes) to help you be a stronger language learner?

Yes

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Have you been in one of our ESL classes before?*

Yes

I'm not sure

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What class were you in?*

Intro

Level 1

Level 2

Level 3

Level 4

Advanced

I'm not sure

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Do you have your book from last class?*

Yes

I'm not sure

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Are you interested in Thursday morning or evening classes?*

Thursday morning is from 9am-11am, Thursday evening is from 7pm-9pm.

Morning

Evening

Both morning & evening

Not sure

Are you interested in Thursday morning or Thursday evening classes?*

Thursday morning is from 9am-11am, Thursday evening is from 7pm-9pm. If you're not certain, just indicate which you are most likely to attend. If you want to attend both morning & evening, just check both boxes.

Morning

Evening

Want help?*

Can we contact you in order to help you get started in our English program?

Yes, please contact me.

No, I don't need help.

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What time?*

What time of the week is best for us to contact you? You can check more than one box.

During the weekday (9am-5pm, Monday-Friday)

During weeknights (after 5pm, Monday-Friday)

During weekend (Saturday or Sunday)

Other

Do you need child care?*

This may not be available but knowing your preferences may help us help you. If we can provide it, it is only available when you are in class with us. Our child care workers are trained for the safety of your child.

Having child care available would help me attend ESL classes.

I do not need child care.

What are the ages of the children you would need child care for?

Bible in class?*

Our primary English books are secular (not religious). But one option you have is to to be in a class that uses the Bible for 5 minutes as part of the English lesson. Or you could be in a class that does not use the Bible at all. Do you have a preference about whether the Bible is used for 5 minutes in your English class?

I would prefer not.

I have no preference.

It's fine with me.

Contact information

Last page! This information helps us serve you well.

Name*

Given name Family name

Email*

Do you have a US phone number?*

Yes

US Phone*

Can you receive text messages at this number?*

Yes

What is your preferred method of communication?*

We will try to use this when we communicate with you.

Phone call

Text Message

WeChat

Facebook

If you prefer WhatsApp, what phone number should we use?

WeChat

If you prefer WeChat, what is your WeChat ID?

How did you find out about our English programs?*

Optional question. If there was more than one way, what was the way that was the most important in helping you to connect with us?

Google Search

From a friend

Augusta University

Fort Eisenhower

Another Organization told me

My Job

My ESL teacher or someone else with International Link

A paper card or flyer

A sign on Washington Road

An AI chatbot (ChatGPT, Gemini, etc.)

Other

What is your current address?*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What country are you from originally?*

Country

Gender*

Male

Female

What language do you speak at home?*

What is your age in years?*

We normally only teach adults, but sometimes make an exception.

Younger than 18 years

18 years old or older

How long have you been in the US?*

This gives us an idea of your English experience.

Comments or questions

Please enter any comments or questions you have. Or you can leave this blank.

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When would you like to take your English assessments?*

We have changed books and everyone needs to be assessed this year, including returning students. You can save money on your book cost by taking your English test early.

Before August 10

August 10, at the social & assessment event

After August 10, but before September 5

September 5 or later

I'm not sure

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How did you find out about our English programs?*

Select as many as apply

Google Search

From a friend

Augusta University

Fort Gordon

Another Organization told me

My Job

My ESL teacher or someone else with International Link

A paper card or flyer

Other

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What class format would you prefer?*

I will only attend in-person classes

I will only attend virtual (Zoom) classes

I am happy with either virtual classes or in-person classes

I prefer in-person classes but will attend either in-person or virtual classes

I prefer virtual classes but will attend either in-person or virtual classes

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For in-person classes, what class location would you prefer?*

For this question, let's assume that COVID is not a problem. This is more about whether you have easy access to transportation.

I can travel anywhere in the Augusta area for class.

I can only attend in-person class if it is in a certain part of Augusta

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What part of Augusta are you limited to?

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When is your birth date - month & day

You do not have to add your year.

Name

This field is for validation purposes and should be left unchanged.

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