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Registration Form

Multicultural Banking Center at HarborOne Credit Union REGISTRATION

Name:

 

Home Phone:

Cell Phone:

Best time to call:

Address:

City/Town:

State/Zip Code:

Primary Spoken Language? English, Capeverdian, Italian, Haitian, Spanish, Other:____________

Start

Date:

Course

Name:

Class

Room:

Material Cost:


Date of confirmedregistration: Date of payment received: Date of cancellation: Class graduated:
Comments (to be completed by MBC Staff):

Courses Offered:

Course Title: Material Costs: Course Completed:
English as a Second Language (Morning) $50.00 English as a Second Language (Morning)
English as a Second Language (Evening) $75.00 English as a Second Language (Evening)
Citizenship (Morning) $50.00 Citizenship (Morning)
Citizenship (Evening) $50.00 Citizenship (Evening)
Credit Counseling Workshop No Cost Credit Counseling Workshop
Money Smart / Language: _____________ No Cost Money Smart / Language: _____________
Computer Basics/ AM___ or PM_______ TBD Computer Basics/ AM___ or PM_______
First Time Home Buyer Workshop/Language:___________ $15.00 to NHS First Time Home Buyer Workshop/Language:_______
ESOL for Employment $50.00 to TRA ESOL for Employment

Referred by: ___________________________Date Completed: ______________________Completed By:____________________