ADULT LITERACY STUDENT

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LEARN TO READ!

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* Indicates required field

Name *

First

Last

Phone Number *

Do you have transportation to the library? *

Yes No

Last grade completed *

Have you ever sought help to improve your skills? *

Yes No

Where? *

When? *

What are your goals with this pogram? *

Check any that you would like to learn *

Religious Activities Voting GED Fill out Applications Read Recipes Read Medication Labels/Prescriptions Read/Write Letters Open/Use Checking/Savings Accounts Read for Community Activities (fliers, etc.) Apply for Driver's License/Take Driver's Test Read Classified Ads Write Shopping Lists Read Bills Read Novels/Magazines Balance Checkbook Against Statement Read Work Related Materials

Which Days are Best for You? *

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

How did you learn about OPL's Literacy Program *

Submit

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Home
EBOOKS
- MORE DIGITAL CONTENT
SERVICES
HOW DO I....?
CHILDRENS/TEENS
ADULTS