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Citizenship Clinic 09/28/2024 Registration
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* Indicates required question
Email
*
Your answer
Phone number
*
Your answer
Please write your full name (First, Middle, Last)
*
Your answer
Please provide your date of birth
*
MM
/
DD
/
YYYY
When did you receive your green card? (Input your "resident since" date)
*
MM
/
DD
/
YYYY
What is your English fluency?
*
No English
I have to enroll in a class to get my English better
Conversational
Fluent
Do you have any criminal history?
*
Yes
No
Other:
If yes, please provide a short explanation
*
Your answer
What time works best for you?
*
10 AM
11 AM
12 PM
1 PM
2 PM
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