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SIGNUP FORM
 
Hi there! Welcome to The Global Language Network (GLN) in Washington, DC.

Glad to have you on board. Creating an account is quick and easy and it will enable you to register for our classes! Please fill out the form below, and you will be able to sign up for classes in no time. If you are affiliated with GW, please be sure to indicate that affiliation by checking the appropriate box. 
First Name: *
Last Name:
Select a user name
*
Select a password *
Confirm Password: *
Gender:
Male Female
E-mail *
Phone Number - - * (xxx-xxx-xxxx)
Mailing Address  
Street name and number:
*
City:
*
State:
*
Zip Code:
*
In what year you were born? *
What is your native language? *
What other languages do you speak? 
  Novice Intermediate Advanced Superior
  Novice Intermediate Advanced Superior
  Novice Intermediate Advanced Superior
  Novice Intermediate Advanced Superior
  Novice Intermediate Advanced Superior
* Proficiency is based on the ILR (FSI) proficiency scale.
Affiliated with The George Washington University? Yes   No
If yes, what is your affiliation? (select all that apply)
What is your GW e-mail address? *
Professional Background *
Employer (if applicable) *
How did you learn about GLN ? Word of mouth Internet Advertisement
Other (please specify)
Have you ever taken classes with GLN? Yes No
What languages are you most interested in learning? Please select your choices in the order of preference
*
 
 
 Yes, I would like to sign up for the GLN E-Newsletter to receive updates about classes and events.
We will not disclose any information you provide to third parties.
   
   
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