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Fall/Spring - 2023/2024 - Diploma/GED Admission Process
After you fill out this form, please check your email for the next steps explaining how to sign-up for an orientation.
You must sign-up for an in-person orientation before you will enrolled into your classes.
Bolsa Office
(714) 842-4227
x49400
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* Indicates required question
HBAS ID#
Please enter your Huntington Beach Adult School ID#, if you have one. New students will not have an ID# yet. *Do not enter your HBUHSD ID or Driver's License #*
Your answer
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
Your answer
Program
*
Please mark your desired Program
Diploma
GED
Spanish GED
New/Returning
*
Please mark if you are returning to HBAS or if you are a brand new student.
New
Returning
Would you prefer morning or evening classes?
*
Morning
Evening
Which campus is closest to you?
*
Bolsa - 5832 Bolsa Ave, Huntington Beach, CA 92649
BESST Center - 2045 Meyer Place Costa Mesa, CA 92627
Gothard - 17231 Gothard St Huntington Beach, CA 92647
Do you live in the Oakview Elementary School neighborhood community? (in the neighborhood that this school is located)
Yes
No
Clear selection
Address (including street and apartment number)
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Mobile Phone
*
8005552368 Format
Your answer
Who is your mobile service provider?
*
Assurance Wireless
AT&T
Bluesky
Boost Mobile
Consumer Cellular
Cricket Wireless
Google Fi
MetroPCS
Mint Mobile
Spectrum
Sprint
T-Mobile
Total Wireless
Verizon Wireless
Virgin Mobile
Walmart Family Mobile
Other:
Secondary Phone
8005552368 Format
Your answer
Preferred Email
*
Your answer
How did you hear about HBAS?
*
Choose
Word of Mouth
Catalog of Classes
Internet
Social Media
Family/Friends
Banners
Billboard
Newspaper Ad
Walk-In
Ads at DMV
Bus/Bus Stop
Date Of Birth (mm/dd/yyyy)
*
Your answer
Gender
*
Female
Male
Non-binary
Personal Status/Customer Group (select all that apply). Follow this link for definitions:
https://4.files.edl.io/1226/12/02/20/202616-98d31a16-58b6-45b6-a293-666f8832f7d0.pdf
*
None
Displaced Homemaker
Disabled
Ex-offender
Homeless
Foster Care Youth
English Language Learner
Low Levels of Literacy
Cultural Barriers
Migrant Farmworker
No TANF in 2 years or less
Single Parent
Long-term Unemployed
Low Income
Required
Upon completion of your HBAS program, what is your next immediate goal? (select 2 options)
*
Continue education/training HBAS
GWC (Golden West College)
OCC (Orange Coast College)
CCC (Coastline Community College)
Other College
Military
Get a new job
Keep current job
Get a raise in current job
Become a US citizen
Personal/family goal
Don't know
Required
Do you have access to an internet connected device to use outside of school?
*
Yes
No
The internet Connected devices that I have access to include:
*
Cell Phone
Desktop Computer
Laptop Computer
Tablet/ipad
Windows 10 PC
Chromebook
None
Required
Do you have a learning challenge (IEP or 504) that you have identified?
*
Yes, I do have documentation (IEP, 504, Doctor Note)
Yes, I do not have documentation available
No
Race
*
Choose
Alaska Native
American Indian
Asian
Black or African American
Filipino
Native Hawaiian/Pacific Islander
White
Mixed Heritage
Hispanic
Language spoken at home?
*
Your answer
Labor Force Status
*
Choose
Employed
Employed, with notice
Full Time Student
Not employed and not seeking work
Not in labor force
Retired
Unemployed
Household Size (choose one)
*
Choose
1
2
3
4
5
6
7
8
9
10
More than 10
Current family monthly income (choose one)
*
Choose
Less than $862
Less than $1,415
Less than $1,753
Less than $2,080
Less than $2,373
Less than $2,670
Less than $2,934
Less than $3,193
Less than $3,464
Less than $3,760
More than $3,760
Decline to state
Marital Status
*
Single
Married
Number of Dependents (your children under 18 years of age)
*
Your answer
Highest grade of high school completed
*
9th
10th
11th
None
Attended school in another country
Completed high school in another country
Highest diploma or degree earned/Highest level completed
*
Choose
None
HSE Certificate (GED)
High School Diploma
Technical Certificate
Some college, no degree
AA/AS degree
Four year college degree
Other
Emergency contact - first name (must be someone over 18 and cannot be yourself)
*
Your answer
Emergency contact - last name (must be someone over 18 and cannot be yourself)
*
Your answer
Phone Number
*
Your answer
Type of Phone
*
Home
Mobile
Relationship to you
*
Your answer
Are you a current student from the Huntington Beach Union High School District? (CHS, EHS, FVHS, HBHS, MHS, OVHS, VvHS, WHS)
*
Yes
No
I'm a current or a returning HBAS student
What was your original high school grad year?
*
Your answer
Are you a currently enrolled in English as a Second Language classes with Huntington Beach Adult School?
Yes
No
Clear selection
Terms, Conditions and Notification Agreement - Please read and understand our terms and policy regarding our internet usage and email policy, before submitting this registration form.
https://4.files.edl.io/85b2/10/18/21/181020-cfbcbcac-993f-4444-9f73-effaaa2dcb0b.pdf
By submitting this enrollment form, you agree to these terms and conditions.
Student Signature
*
Type your full legal name for the above Terms and Conditions
Your answer
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