ESL (English as a Second Language) Class Registration

This program is designed to help those who desire to improve their English skills. As people improve their English skills they will also learn the Bible. The classes are FREE. Each student is taught by trained members of the East Allen County congregation.

Please fill in your information below and we will contact you to arrange a convenient time for your classes.

*Full name:
*Full Address:
Home phone:
Mobile phone:
Email address:
Gender:
Age:
Marital Status:
Number of children:
Ages of children:
Number of years
you have studied
English:
Level of
English ability:

The following information will be used to help match you with a teacher who has a similar background and interests...
Church/Religious
Preference:



Occupation:
Hobbies: