First Name        Last Name 

Phone Number   E-mail Address 

Name of your spouse (WBG staff member) 

Amount of Check 

I can attend the pre-class assessment interview on: (choose one)

Print and then submit the completed Registration Form and Questionnaire (below) by email.

Mail the printed copy together with a recent photo of yourself (unless you are a returning student), and a $220 for members and $242 for non members check, made payable to WBFN, to: World Bank Family Network, 1818 H Street NW, MSN J2-202, Washington DC 20433; or hand deliver (recommended) to: WBFN at 701 18th Street NW, J Building 2nd floor Room #030, Washington DC 20433.

Be sure to indicate your choice of date and time for the assessment interview (returning students may not be asked to come for an interview).  The interview will help the teachers to determine your language level and appropriate class placement. Upon receipt of the above, we will send you an email confirming the time of your interview.

We will let you know by January 27 whether we can offer you a space in the appropriate level class.

Note: Space is limited to 12 students per class. Places are allotted on a first-come first-served basis, after receipt of payment; however, priority is given to newcomers. If you need to cancel, your payment will be refunded, provided you inform the WBFN at least 5 days before the start date of the class. No refunds for non-attendance or late cancellation. Classes may be cancelled if there are insufficient registrations.

Be sure to check Mosaic or the WBFN website for future class offerings.

 

 

 

QUESTIONNAIRE

1. What is your first language?   

2. What would you like to learn or improve during this course? please check all that apply to you.

Speaking in English              Reading English            All of these                     

Listening to English               Writing English                     

3. Do you need or want to learn English for a special reason? For example: for work, to speak to your child's teachers, to read notices from school, to fill in forms, etc.

 

Please check:

4. I can speak English:

 a little     enough for daily life   Ok, but I want to improve

5. I can understand English when I hear it:

 a little      some of the time    if the speaker speaks very slowly   a lot of the time

6. I can read English:

 a little      if it is easy reading      some of the time       a lot of the time

7. I can write in English:

 a little     using the dictionary a lot     Ok, but I want to improve

8. More information about your English please....

 

9. Have you taken an English course before?

 

10. Describe an interesting vacation you have taken.

 

11. Describe what you like to do in your free time.