High School Equivalency Registration 2023-2024

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FOR AGE 21 AND OVER. Please answer the following questions needed for intake. ALL INFORMATION IS CONFIDENTIAL BUT REQUIRED FOR INTAKE. Please only register ONCE; you will be contacted by phone.

Email *

First Name *

Middle Initial

Last Name *

Date of Birth (month/day/year) *

YYYY

Address (# Street, Apt) *

City *

Zip Code *

Cell Phone Number (include area code) ###-##-#### *

Gender *

Female

Male

Non-Binary/Gender Non-Confirming

Have you ever taken and/or passed any Regents exam? *

Yes

Have you ever taken and/or passed any section of the TASC or GED exam (2002 to present)? *

Yes

We offer classes at various times. Please let us know what time is best for you to attend class. (Check all that apply.) *

Mornings (8:30 - 11:30 am)

Afternoons (12 noon - 3 pm)

Late afternoons (3:00 - 6:00 pm or 3:30 - 6:30 pm)

Evenings - Tuesday, Wednesday & Thursdays (5:30 - 8:30 pm)

Distance Education (for those who qualify) - teacher emails assignments or provides packets of work to complete

Required

What form of transportation will you use to attend school? *

I have a car and drive myself.

I will get a ride with a friend or family member.

I will walk or ride a bike to school.

I have a monthly bus pass and will take the bus.

I do NOT have a bus pass but will take the bus.

I do not know how I will get to school.

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