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ESL Student Application

* Name:
 		 * First:                        * Last:                        MI:
* Mailing Address:  
* City:  
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* Day Phone:                          * Emergency Contact Person Name:   
Evening Phone:  

* Emergency Contact Person Phone:

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*  First Language:   * Birth Date:    
Gender:   Female Male Married Single

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*  Students Use

Which Class are you signing up for ?

  
Name Of Courses Class Time Days of the Week

ENL Intensive Academic

Grammar
Writing
Reading
Listening/Speaking

 9-10:05am
 10:15-11:20am
 11:30-12:35pm
 1:30-2:35pm

Monday & Wednesday & Friday
 
Pronunciation-Accent Reduction
Spelling-Phonics-Vocabulary		  11:30-12:30pm
 1:00-2:00pm		 Tuesday & Thursday 12 weeks to complete
Introduction to ESL  9:30-11:00am
 6:30-8:00pm		 Tuesday & Thursday
Monday & Wednesday
Level 1 Level 2 Level 3
Let's Talk English  6:30-8:00pm Monday & Wednesday
WPC is committed to affirmative action  to goals and would appreciate your response the following:
African American American Indian/Alaskan Native Asian/Pacific Islander Hispanic White Other Prefer not to answer

                                                                                                                                        

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