2024 Fall Intermediate MU Online Language Class Registration

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* 1. Legal Name

First Name

Last Name

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* 2. Indian Name (if applicable)

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* 3. Contact Information

Preferred Name

Address

Address 2

City/Town *

State/Province

ZIP/Postal Code *

Country

Email Address *

Phone Number

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* 4. What is your gender?

Female

Male

Other (specify)

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* 5. what is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 6. Will you be attending In-Person or Online?

In-Person

Online

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* 7. Can we contact you via: Text message about class information and updates?

Yes

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* 8. Can we contact you via: Email about class information and updates?

Yes

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* 9. Do you have access to a cell phone or computer that you can join online Zoom session from?

Yes

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* 10. What is your prior language exposure (select all that apply)?

Language exposure in your home

Some K-12 language exposure

College level courses

Prior Menomini yoU online programming

Attended Language Tables

Other (please specify)

None of the above

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* 11. Full participation in the Spring 2024 Menomini yoU Intermediate Online Language Class will require a minimum of 2–3 hour weekly time commitment. The course will consist of one 60-minute class per week for the 10-week duration.Are you interested in joining the Intermediate Online Language Class?

Yes