ELP Adults

Please complete this form to register for the English Learning Project classes offered by Converge Community Church Inc.

First Name *

Last Name *

Preferred Name

Tip: If you go by a name that is different from your legal name, please enter your preferred name here.

Phone Number

Mailing Address

Mailing City

Mailing Postal Code

Date of Birth *

Email Address

Mailing Address Line 2

Mailing Province

What is your country of origin?

How long have you been in Canada?

What is your level of English?

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