Fall 2009 Application for Andy Bell's FREE advanced ESL classes

What is your last name? * Your family name

What is your first name? *

What is your date of birth? * mm-dd-yr format please

What is your phone number (cell is best)? *

What is an email address that you frequently check? *

Which class do you prefer? *

AM class from 8:30-12:00 Mon-Fri
PM class from 12:30-4:12 Mon-Fri
Saturday class from 9:00 AM-1:00 PM

How did you find out about this free ESL class? * If it is friend, please give their name

What is your native language? *

I understand I must attend at least 80 percent of the classes in a month and that I cannot be late more than 15 minutes to class or I will be absent that day. * Although the classes are free, you are expected t o take them seriously

Yes, I will attend 80 percent or more of the classes a month and not be late
No, I cannot attend 80 percent of the classes per month and cannot come on time so please cancel my application