LCPS GED Classes Application

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Welcome to GED Prep Program! Please complete the questions below, and click “submit” when finished.

After you submit the information, you will receive an email with instructions to pay tuition ($180.00) by credit card. If you are unable to complete the payment, or you don't receive the instructions, contact our office. adult.education@lcps.org or 571-252-2930. NOTE: Your registration is not complete until we receive tuition payment in full. There are no refunds after class starts. Classes are taught in English, basic knowledge required.

By clicking on submit, you are verifying that the information your are providing is accurate, and agree to share it with Loudoun County Public Schools Adult Education.

We look forward to meeting you!

The Adult Education Office

adult.education@lcps.org

www.lcps.org/adulted

571-252-2930

Email *

Are you a returning student? *

Yes

Which class are you interested in attending? *

In Person Classes - Mondays & Wednesdays @ 6:30pm - 9:00pm

Online - Tuesdays @ 6:00pm - 8:30pm Higher Level Students. Placement determined by testing

Last Name (Just as in ID) *

First Name (Just as in ID) *

Email Address (It is important to provide it correctly - Most communication will be via email) *

Phone Number *

Best time to reach you? *

Morning

Afternoon

Evening

Birth Date *

YYYY

Mailing Address (Street, Avenue, Circle, etc.) *

City *

State *

Zip Code *

County of Residence: *

Gender *

Female

Male

Prefer not to answer

Ethnicity & Race - Are you Hispanic? *

Which best represents your racial origin (Check all that apply) *

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Required

Country of Origin *

Name of Emergency Contact *

Emergency Contact Phone Number *

If you choose GED In Person, do you have access to (Check all that apply) : *

Reliable Transportation

Able to attend both days a week (Mondays & Wednesdays)

Able to attend only one day a week (Mondays - Language Arts)

Able to attend only one day a week (Wednesdays - Math)

Not Applied to Me

Required

If you choose GED Prep Online (Higher Level Students. Placement determined by testing), do you have access to (Check all that apply) : *

Computer

Reliable Internet

Comfortable place to study

Webcam

Microphone

Not Applied to Me

Required

If you choose our program, you will need to take a skills test to be placed in a class. (Reading/Math) 3 hours long. Will you be able to (Check all that apply) : *

Attend In-Person in the morning (10:00 am-1:00pm)

Attend In-Person in the evening (5:30 pm-8:30 pm)

Attend Online using Google Meet (6:00 pm-9:00 pm)

Required

Where did you receive your education? *

Highest of level of School completed or degree attained (Choose one) *

If you chose Grade 1-5, 6-8, or 9-12, Tell us the last grade you completed? (Choose one) *

How did your hear about us? (Choose one) *

Are you currently enrolled in any of the following? *

Employment Status *

Employment Barriers (Select all that apply) *

I have a disability

I am ex-offender

I have low income

I have no fixed address

I am a single parent

I am a displace homemaker

I am an immigrant or seasonal worker

I am or used to be in the foster care system

I have less than two years of TANF lifetime eligibility

None of the barriers indicated applies to me

Required

Have you taken the GED test *

Do you plan to take the GED test in the next 12 months? *

Are you enrolling to take advantage of the free testing initiative promoted in www.ged.com? *

Yes

Why do you want your GED Certification?

Please include some available Dates & Times to meet with the Career Counselor.

A copy of your responses will be emailed to the address you provided.

Submit

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