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UUSD Adult School Pre-Enrollment Form
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***ALL HIGH SCHOOL DIPLOMA APPLICANTS MUST HAVE AN OFFICIAL COPY OF THEIR TRANSCRIPTS AT THE TIME OF ENROLLMENT***
Date (Fecha):
*
MM
/
DD
/
YYYY
First Name (Nombre)
*
Your answer
Last Name (Apellido)
*
Your answer
Contact Number (Número de Teléfono)
*
Your answer
Email (Correo Electrónico)
Your answer
I am (Soy)
*
Choose
New to Upland Adult School (Nuevo Estudiante)
Returning UAS student (Estudiante de Regreso)
What program are you interested in? (En qué programa estás interesado?
*
Choose
English as a Second Language (ESL)
Citizenship
Basic Computer (ESL)
High School Diploma
GED Prep
How did you hear about us? (Cómo se enteraron de nosotros?)
*
Choose
Newspaper (Periódico)
Radio
Television
Mail (Correo)
Internet
Friend (Conocido)
Community Resource Center (Centro de Recursos de la Comunidad)
Employment Agencies (Agencias de Empleo)
Other (Otro)
If other, please specify (En otro caso, por favor especifica)
Your answer
Our office will contact you to schedule an appointment to complete registration and placement test within 72 hours.
A copy of your responses will be emailed to the address you provided.
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