Duluth Adult Education - DAE - Step 1 Registration Form
Thank you for your interest in furthering your education with us here at DAE; we are excited to assist you on your educational endeavors! Your journey begins by completing this form.

After you submit this form someone from our office will contact you to schedule Step 2 of the registration process.

If you have questions contact 218-336-8725 or dae@isd709.org. You must be a Minnesota resident living in the Duluth area to be eligible. Thank you!
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Email *
Which program are you interested in? *
If you selected "Career Pathways" above, which career path are you interested in? Healthcare, Construction, Auto Technician, Manufacturing, Paraprofessional, or English for Healthcare.  All others skip to next question.
First Name *
Last Name *
Middle Name *
Nick Name/Preferred Name
Preferred pronouns (she/her, he/him, they/them, etc.)
Email *
Would you like to be added to our monthly newsletter email list?
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Primary Phone *
Street Address *
City, State, Zip                                                         County *
Date of Birth *
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Age
Gender: *
Hispanic/Latino *
Race (Choose only one) *
Work Status  (Choose only one) *
Do you receive public assistance? (Choose only one) *
Highest Formal Education (Choose only one) *
Education Location *
Factors that challenge you to meet your educational or career goals  (Check all that apply)
Social Security Number: Providing your SSN helps us meet state and federal reporting requirements.  We do not share your SSN with anyone.
Tennessen Warning: We need to ask you for the following information for our program records: name, birth date, gender, race/ethnic group, employment status. We may share some information with teachers and other staff of Duluth Public Schools. We report this information to the MN Department of Education for annual reporting and funding. We will only share this information with other organizations if you give us permission. Thank you. I have read this: *
How did you hear about our program?
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