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Name
*
$
First Name
Last Name
$
One Time
Recurring
Email
*
$
$
One Time
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Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
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What is your gender?
*
Male
Female
$
$
One Time
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What year were you born?
*
$
$
One Time
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What country are you from?
*
$
$
One Time
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How much education do you have?
*
Less than 12th grade
H.S Diploma
Some College
Undergraduate Degree
Graduate Degree
Not Available
$
$
One Time
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What is your ethnic group?
*
Asian
Black
Hispanic/Latino(a)
Native American
Other
White
$
$
One Time
Recurring
Do you work?
*
Full-Time
Part-Time
Unemployed
Disabled
Retired
Not in Labor Market
Seeking Work
Not Available
$
$
One Time
Recurring
How did you hear about LVSC?
*
Employer
Friends/Family
Library
Literacy Hotline
Newspaper
Other
Other Agency
Other Literacy Organization/Agency
Poster
PR Talk
Search Engine
Special Event
TV or Radio
Website
$
$
One Time
Recurring
Check which group or groups you want to join.
*
$
Mondays 7:00 - 8:30 pm Teacher: Dan -- Zoom
Tuesdays 10:30 - 12 noon Teacher: Bonnie -- Zoom
Tuesdays 1 - 2:30 pm Teacher: Vicki -- Hillsborough Library
Tuesdays 6:30 - 8:00 pm Teacher: Kala -- Zoom
Wednesdays 1 - 2:30 pm Teacher: Susan -- Zoom
Thursdays 12 noon - 1:30 pm Teacher: Dan -- Zoom
Thursdays 1:00 - 2:30 pm Teacher: Kathy -- Manville Library
Thursdays 6:30 - 8 pm Teacher: Charlie -- Manville Library
Fridays 10:30 - 12 noon Teacher: Vina -- Zoom
$
One Time
Recurring