2023 Citizenship Prep Test Application Form 1

Access Cultural Diversity Summer 2023 US Citizenship Test Prep Class

Classes start the week of June 4 and end the week of August 6

Name

First NameLast Name

Address

City

State/Province

Zip

Cell Phone

Home Phone

Email Address

example@example.com

Are you available Tuesday at 7 PM?

Are you available Saturday at 9:30 AM?

1. What is your English level of confidence for (rate 1 to 5) reading?

2. What is your English level of confidence for (rate 1 to 5) writing?

3. What is your English level of confidence for (rate 1 to 5) speaking?

4. What English language course(s) have you taken?

5. When do you plan to take the US Citizenship Test?

Note: If you have questions or comments email knox2150@yahoo.com or text 865 335-9329.

1. The Citizenship Prep Test course is $20 if you buy the book on Amazon.

ttps://www.amazon.com/dp/BOBNL89PK8?psc=1&ref=ppx_yo2ov_dt_b_product details

2. The Citizenship Prep Test course is $40 if we supply the book. The Summer Citizenship Prep Test course payment is cash, check, Zelle, or PayPal (865-335- 9329) payable to Access Cultural Diversity. Mail to Access Cultural Diversity 300 Prosperity Drive, Suite 102, Knoxville, TN 37923 Classes online via Zoom require the following: a computer or Laptop with a camera, microphone, Wi-Fi connection, and email address.