SCIS English Conversation Group Student Sign-Up 2023-2024

Name Name First Last
Email
SUID
Local Cell Phone Local Cell Phone - ### - ### ####
Level of study

Level of study Undergraduate Graduate Visiting Scholar Spouse
Country of citizenship
Is this your first time applying to the program?

Is this your first time applying to the program? Yes No
If no, name of the previous Group Leader
Please indicate the exact days and times that you are available between 8:00am and 4:00pm to participate in the weekly one hour meetings. Make sure that these times do not interfere with your class schedule.
Monday
Tuesday
Wednesday
Thursday
Friday
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