Rainbow Room English Language Learning
Our program offers a safe, welcoming place where you can build your English skills for work and everyday life. Please use this form to register for upcoming sessions, and email us at learnenglish@endoftherainbow.ca if you have any questions.
Name
*
First Name
Last Name
The first name you would like us to use:
Your UCI number:
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
I identify as:
Male
Female
Other
I am:
First Nations, Métis, or Inuit
a Permanent Resident, Temporary Resident, or have Refugee Status
a Ukrainian CUEAT Visa Holder
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
The City and Country you came from
*
How long have you been in Canada?
*
What languages do you speak?
*
Estimate your current level of English?
*
Beginner
Low Intermediate
Intermediate
High Intermediate
Advanced
If you have taken the Canadian Language Benchmark Test, tell us more about your current levels:
Rows
CLB 1
CLB 2
CLB 3
CLB 4
CLB 5+
Listening
Reading
Speaking
Writing
My level of schooling is
*
None
Grade 1 - 6
Grade 7 - 9
Some High School, or High School Graduate
Some Post Secondary
Post Secondary Graduate
Special Education
Other
How did you learn about our English classes?
*
Submit
Should be Empty: