English for Careers - Interest Form

English for Careers: Interest Form

Do you want to change careers? Are you trying to learn a new professional skill? If you are at the High-Intermediate level or above of English, our free "bridge" classes may be what you need. We offer these classes once per year. Please complete this form to be a candidate for next year's programs. An Adult Education/ESL team member will contact you with more details. If you have questions before then, please tell us at the end of this form. *Please note, if you are interested in only ESL English classes, you do not need to complete the form - instead please email ESL@Frederick.edu*
Name*

First NameLast Name
Email*
example@example.com
Phone Number (mobile/ cell phone)*
May we text this number?*

YesNo
Which Bridge course(s) are you interested in, if we are able to offer them?*

ESL Foundations for Healthcare Careers (Nursing Assistant, Dental Assistant, Phlebotomy) *for next year - FALL 2025*Bridge to Careers: Business (Accounting, Administrative Assistant) *January 2025*We might add an option to study childcare or teaching assistant in the future - check here if you are interested in these.We might add an option to study IT/Computer Literacy in the future - check here if you are interested, and we will contact you if we can offer this.CDL-B (Commercial Driving License "B") *at Hagerstown Community College*Other
Please choose a date to attend orientation to learn more about the Healthcare, Business & Accounting, or CDL courses.
Orientation and testing are mandatory - they must be done before December 16th.
When are you able to take classes? Choose all times you are available - classes will be 2-3 times a week.

Weekday morningsWeekday eveningsSaturdays
Some of the classes will be in person, and others may be hybrid. Are you able to attend both in person and virtual?*

I can only attend in personI can only attend remote/virtualI can do both
What level and program are you currently in? If you are in more than one, please choose all that apply. (Please note - these courses require at least a high-intermediate level of English.)*

ESL High IntermediateESL AdvancedTargeted ESLAcademic ESOLABE/GEDI'm not sure; I'm a new studentMy level is lower, but I am interested for the future
If you are a new student, what do you estimate or think your level of English is? (you will need to take a test to be sure your level is high enough)

BeginnerIntermediateAdvanced
Do you have a high school diploma (or more)?*

Yes, from another countryYes, from the United StatesNo
If you are in ABE/GED classes, is English your first language?*

YesNo
Are you comfortable with using a computer? What is your approximate level of digital literacy at the moment?

I am a beginner - I need help learning to use a computerIntermediate - I know how to use a computer but need to learn moreI have advanced computer skills and I want to get certifications and/or a job in ITOther
If you have questions and want us to contact you about scheduling an appointment, please tell us here (include the reason or what you would like to discuss).
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English for Careers: Interest Form