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Buckeye Career Center Adult Diploma Program Student Background Questionnaire
By completing this questionnaire you will help us to better serve you as we work together to help you earn your high school diploma through the BCC Adult Diploma Program.
This program is conducted IN PERSON at Buckeye Career Center in NEW PHILADELPHIA, OH. It is NOT OFFERED AS AN ONLINE PROGRAM.
To participate you must be an Ohio resident over the age of 20 with no diploma or GED.
You can earn your high school diploma by scoring a 14 or higher on the WorkKeys Assessment and earning the required Industry Credentials to complete your program.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Please enter a valid phone number where you can be reached. Please use the following format
###-###-####
*
Your answer
May we contact you by Text Message at the number above?
*
Yes
No
Please enter a valid email address that you check regularly.
*
Your answer
What Adult Diploma Program are you interested in joining? ( Check all that interest you) NOTE: programs marked with a * may require a clean FBI/BCI background check to complete.
*
Carpentry
Office Professional
Automotive Technician (3 certificates)
STNA *
Undecided
Firefighter 2 *
Firefighter 1 *
Nail Technician
Public Safety Communications *
Drone Pilot for Public Safety *
Phlebotomy
Welding Short Course
Warehouse and Manufacturing Associate
Required
Will your work and family schedule allow you to attend evening classes as scheduled for the class that you choose?
*
Yes
No
Depends on the days class is scheduled
What are some potential barriers to successful completion of this program? (Check any that apply)
If you mark "other" please use the next question to explain what the barrier is.
*
Access to adequate transportation (Including money for gas )
Legal issues (ie Prior Convictions, probation, etc)
Work schedule conflicts
Lack of access to computer equipment
Access to childcare
Lack of access to Internet in the home
No Anticipated Barriers
Other
Recovery issues
Lack of support from family or partner
Required
If you mark "other" please use this area to explain what the barrier is.
Your answer
Would you share with us below a brief explanation of why you did not complete High School or previous GED Programs? (If you prefer not to tell us, you may say that in the space below)
*
Your answer
Do you believe that you would benefit from assistance developing a resume, cover letter and/or interview skills?
*
Yes
No
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