Korean School Application Form (Spring 2007)

St. ANDREW KIM KOREAN SCHOOL ADULT CLASS APPLICATION FOR FALL 2017/SPRING 2018 17615 OLD BALTIMORE RD., OLNEY, MD 20832 [email protected], www.sakhangul.com

Check the class you apply for:  Class A (Beginners)  Class B (Beginners-Intermediate) 8-15: 한글로 쓰셔도 됩니다

1 NAME Last M.I. First

2 MAILING Street Address, Apt. No., PO Box. ADDRESS City State ZIP Code

3 DATE OF BIRTH 4 Gender Male Female (MM/DD/YY) 5 ETHNIC  Asian,  Hispanic  Afro-American White DESCRIPTION Asian-American (Not Hispanic) (Not Hispanic) (Optional) or Pacific Islander

6 CONTACT 7 CONTACT E-MAIL PHONE 8 Have you ever taken any Korean Language Courses previously?  Yes (go to question 9 & 10)  No (go to question 11) 9 Where did you take the Korean language course (Name of school you attended)?

10 What level was this course and how long did you take this course for?

11 What made you become interested in learning Korean language?

12 Do you know anyone who can communicate with you in Korean?

13 How did you hear about St. Andrew Kim Korean Language School?

15 What is your main goal to achieve by taking the Korean language course at St. Andrew Kim Korean School?

16 Are you a SAKKS Sunday School teacher? Yes______No ______

Tuition Snack Total Official Use Only ($200/semester) fee Check # Cash Date Received ($20) ( √ ) Fall 2017 $ waived $ # Semester Spring 2018 $ waived $ # Semester  50% discount of tuitions for: (1) descendants of Korean War Veterans (proof documents needed), and (2) parents of children adopted from Korea.  Please make a check payable to SAKKS and send it via US mail or submit in person to SAKKS staff by August 1 3 /2017 for 2017 Fall semester and by December 9/2017 for 2018 Spring semester. Late fee of $25 will be applied if the complete registration form + a full payment are not received by the due dates listed above.  There will be no refund of tuition if you withdraw two weeks or more after the school curriculum begins.