Step 1 of 3 33% Citizenship Class Registration FormRegister by completing this online form or calling Mary J. Treglia Community House at 712-258-5137 during business hours. Tuition is $25 per person, which covers as many classes as a student needs to prepare for the U.S. citizenship exam.Your Name(Required) First Last Your Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number(Required)Email Address Gender(Required)FemaleMalePrefer not to answerDate of Birth(Required) MM slash DD slash YYYY Highest Level of Education Completed(Required)Some High School or LessHigh School Diploma or GEDVocational Certificate or CredentialSome CollegeAssociate's Degree (2 year Institution)Bachelor's Degree (4 year Institution)Master's DegreeOtherEmployer Please provide your employer if applicable.Place of Birth(Required) Please enter to County and City/Region of your place of birth.Primary Language Spoken Please enter your native language. Photography(Required) Yes No I give permission to Mary J. Treglia Community House and its employees and volunteers to take pictures of me, and they can be used for publications or in advertising.Communication(Required) Yes No I give permission to Mary J. Treglia Community House to send me emails and text messages regarding class updates, notifications, and information about additional services.Your Comments/Questions
