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High School Equivalency Credentialing Candidate Application
Please have certified high school transcript sent to the Regional Office of Education #11, 730 7th Street, Charleston, IL 61920. If you have any questions, please contact our office at #(217)348-0151
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Email
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Your email
Candidate Name:
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Your answer
Candidate Address (Street, City, State, Zip Code):
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Your answer
Candidate Phone Number:
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Your answer
Candidate Social Security Number:
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Your answer
Candidate Birthdate:
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Your answer
Candidate Age:
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Your answer
Has candidate been an Illinois resident for at least 30 days?
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Yes
No
Does candidate live in one of the following counties in Illinois - Clark, Coles, Cumberland, Douglas, Edgar, Moultrie, or Shelby county?
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Yes
No
Is candidate currently enrolled in a high school setting?
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Yes
No
Has candidate completed a state-recognized high school diploma or high school equivalency option?
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Yes
No
Name of high school attended (include city and state):
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Your answer
Is this high school state-recognized or an accredited public or private high school?
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Yes
No
Unsure
Years of attendance:
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Your answer
Have any credits been earned through a post-secondary (college, university, or trade school) option?
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Yes
No
If yes, please provide name of institution:
Your answer
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