Write-Right Literacy Application Write-Right Literacy Program Application Full Legal Name (must include your middle name)(required) Email(required) Phone(required) Please Select One(required) Male Female Intersex Non-Binary Choose not to answer Ethnicity(required) Date of Birth(required) Home Address/Current Residence(required) City(required) State(required) Zip Code(required) Choose the appropriate option based on your current age(required) Adult Literacy Program (for anyone 18 years and up) Youth Literacy Program (for ages 14-17) ESL Literacy Program (you will be contacted when this program is available) Select your highest level of education (Currently, we are only accepting applicants who do not have a High school diploma or GED).(required) Elementary school Middle school Some High school Community college 4 year degree What do you hope to accomplish by attending our academic reading and writing workshops? (required) In case of emergency, who should we contact? Please list the relationship of the person listed and their contact number. Please write 200 words or less describing how the COVID-19 pandemic has affected you personally. Your submission will be used to evaluate your current writing skills. (required) Submit Share this:TwitterFacebookLike this:Like Loading...