Name *

First Name

Last Name

Gender *

Female

Male

Other Gender Identity

Pronouns (optional)

He/Him/His

She/Her/Hers

They/Them/Theirs

Option not listed

Birthdate *

MM

DD

YYYY

Phone *

(###)

###

####

Race *

American Indian or Alaskan Native

Asian

Black or African American

Latino/Latina

Native Hawaiian or Other Pacific Islander

Two or More Races

White

Barriers to Employment

Select all that apply, Skip if none apply

Cultural Barriers

Disability

Displaced Homemaker

English Language Learner

Ex-Offender

Foster Care

Homeless

Learning Disabled

Low Income

Low Levels of Literacy

Migrant Worker

Single Parent

Choose your schedule for English Class:

For English Language Learners

In-Person AM | MON to THURS 9:15 AM-12:15 PM

In-Person Afternoon | MON to THURS 12:30-2:30 PM (Wayzata Only)

In-Person PM | TUES & THURS 6:00-9:00 PM

Online Only AM | MON to THURS 9:15 AM - 12:15 PM (Beginners only)

Online Only PM | TUES, WED & THURS 6:00-8:00 PM

Choose your class for GED/Academic Skills:

For GED Students

Online AM | MON to THURS 9:15 AM-12:15 PM

Online PM | TUES, WED & THURS 6:00-8:00 PM

Class Device *

All of our classes utilize some type of online learning to enhance instruction. How do your intend to connect to your online learning?

Computer/Laptop

iPad/Tablet

Smartphone

Do you have reliable internet service? *

Yes

No

Registration & Orientation *

All classes (in-person and online) require an in-person registration appointment and an orientation prior to starting class.

Yes! I agree to come in-person for registration and orientation.