Prospective Student Information
If you are interested in Adult Education or ESL classes, please fill out the form below. 
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Email *
First Name *
Last Name *
Preferred Name *
Example: If your name is Michael but you go by Mikey.
Phone number for calls. *
Please put a phone number that we can call.
Phone number for texting. *
Please put a phone number that we can text.
Date of Birth *
In order to create your initial assessment forms, we are required to input your date of birth.
PLEASE PUT - Month/Day/Year - December 23, 2003  would be 12/23/2003
MM
/
DD
/
YYYY
Gender *
In order to create your initial assessment forms, we are required to input your gender.
Required
Are you interested in Day Classes or Night Classes? *
Please select either day or night classes.
Required
Which enrollment are you considering? *
Please select the enrollment you would like to attend.
Required
Have you taken and/or passed part(s) of the GED test before? *
Please select all boxes that apply to your current situation
Required
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