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You only need to complete this survey ONE TIME. Please allow at least 1-2 weeks for processing.

Thank you for choosing Catholic Charities Atlanta to improve your English language skills. Please check your email for updates from Catholic Charities Atlanta Adult Education program.

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* 1. First Name/ Primer Nombre

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* 2. Last Name/ Apellido

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* 3. Phone Number/ Número de teléfono

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* 4. Email Address/ Correo electrónico

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* 5. Have you previously taken English classes with Catholic Charities Atlanta ¿Ha tomado clases de inglés anteriormente con Caridades Católicas de Atlanta?

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* 6. Are you 17 years of age or older? ¿Tienes 17 años o más?

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* 7. Do you live in the state of Georgia? ¿Vives en el estado de Georgia?

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* 8. Morning or Evening Classes? Clases matutinas o nocturnas?

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* 9. Location: Chamblee, Lilburn, Smyrna, or Online?

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* 10. Which semester would you like to begin classes? ¿En qué semestre le gustaría comenzar las clases?

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