Register for English Learning 1Your English goals and background2Our English learning options3Your Contact information This field is hidden when viewing the formYour 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.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?*Due to many requests, we may not be able to fulfill every choice right away, but we can at least get you on a waiting list. Weekly Dinner & Discussion Other Social Events Bible Study Test Preparation Review of your professional document or presentation Citizenship classes Friendship Partner Waiting List This field is hidden when viewing the formIf 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. This field is hidden when viewing the formIf 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. 0 1 2 3 4 5 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. 0 1 2 3 4 5 How would you rate your English writing ability?*0 means can't write English at all, 5 means can write English very well. 0 1 2 3 4 5 How would you rate your English reading ability?*0 means can't read English at all, 5 means can read English very well. 0 1 2 3 4 5 This field is hidden when viewing the formWhich 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 This field is hidden when viewing the formHow 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 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 This field is hidden when viewing the formHave you been in one of our ESL classes before?* Yes No I'm not sure This field is hidden when viewing the formWhat class were you in?* Intro Level 1 Level 2 Level 3 Level 4 Advanced I'm not sure This field is hidden when viewing the formDo you have your book from last class?* Yes No I'm not sure This field is hidden when viewing the formAre 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 This field is hidden when viewing the formWhen 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 This field is hidden when viewing the formWhat 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 This field is hidden when viewing the formFor 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 This field is hidden when viewing the formWhat part of Augusta are you limited to?Do you need child care?*This is only 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? Name* Given name Family name Email* Do you have a US phone number?* Yes No US Phone*Can you receive text messages at this number?* Yes No What is your preferred method of communication?* Phone call Text Message WhatsApp Email WeChat Facebook WhatsAppIf you prefer WhatsApp, what phone number should we use?WeChatIf you prefer WeChat, what is your WeChat ID?What is your current address?* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code What country are you from originally?* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 This field is hidden when viewing the formWhen is your birth date - month & dayYou do not have to add your year.When did you arrive in the US?*Comments or questionsPlease enter any comments or questions you have. Or you can leave this blank.PhoneThis field is for validation purposes and should be left unchanged. See more English learning opportunities Learn English
