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CLASS REGISTRATION

You can register for the upcoming semester by either phoning the office at (718) 681-2222 or by filling out and sending our online form. After completing either of these steps, you will be informed by phone when to come in to sit for the placement evaluator.

First Name:

Middle:

Last Name:

Address:

Apt.#:

City:

State:

Zip:

Home Phone:

Gender:

Date of Birth:

Country of Birth:

E-mail address:

Registration For:

Any Comments? (limit 300 characters)

*All information below is optional and will only be used to report statistical data

Number of Children under 21:

Highest grade completed:

Race/Ethnicity:

Other:

Employment Status:

Receive Public Assistance?

Single Parent Family: