Crossroads Graduation Application

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Education Service Center, Region 2 (ESC-2) and Crossroads AEL is proud of the hard work, dedication, and sacrifice you have made in order to achieve your dreams. This is the day you been waiting for. We are excited to be able to serve our adult learners and be a part of their journey toward academic and personal success. Welcome to the final step for graduation. Please complete all of the fields below and click submit.

First Name *

Last Name *

Contact Phone Number *

Including area code (ex. XXX-XXX-XXXX)

Address *

City *

State *

Zip Code *

Anticipated Number of Guests *

Note: Each graduate is asked to limit invited guests to no more than 5 due to space constraints

Test Information

Test Taken *

Date Test or Training was Completed *

YYYY

Please indicate if you would like to receive a copy of your TxCHSE Certificate at the graduation ceremony. *

If so, please purchase the certificate through TEA website and provide us a copy so we can print and present during the graduation ceremony.

Cap & Gown

NOTE: Cap and Gown will be sold for $25.00 and must be purchased through a Herff Jones representative. ESC-2 will NOT be responsible for any exchange of money. All transactions will be through Herff Jones.

Please indicate your height and weight below in order to receive the appropriate size gown.

Height *

Approximate Weight *

(in lbs.)

Certification

This document is to certify that all of the requirements of the Texas Education Agency and the Crossroads Adult Education Literacy Program, through the Education Service Center, Region 2, have been met and satisfied. Therefore, allowing this participant the privilege to participate in our graduation ceremony.

Please type your full name to digitally sign this application. *

Submit

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