Registration Form
SUMMER LANGUAGE PROJECT
Evelyn Thurman Gratts Elementary School
309 South Lucas Avenue
Los Angeles, CA 90017
July 12 – August 16, 2008
Personal Information
First Name
MI
Last Name
Adress
Apt #
City:
State
Zip code
Tel no.
E-mail
Cell
What Language do you Speak?
Please select one of the following:
still in HS
Have completed HS
Completed HS out of the US
N/A
Name and Address of your school
What is your major?
Degrees completed: eg. BA in, BS in...
Additional information or anything that we need to know about you.
Do you have any special needs?
Select
no
yes
If yes please explain:
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