Spring 2021 GED MATH ONLY Interest form
Students requesting further information on the CCRI Bridge/GED Program or who would like to attend an orientation for classes should complete this form.
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Email *
First Name: *
Last Name: *
Date of Birth *
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I am at least 18 years old. *
Phone Number: *
Street Address: *
City: *
State: *
Zip Code: *
Highest Grade Completed: *
Where did you attend school? *
Gender (optional) *
Race/Ethnicity (optional): *
Nativity (optionalP *
Time of Classes preferred: *
Online OK?  (No in-person classes are available until at least summer/fall 2021.) *
What technology do you currently have access to?  Please check all that apply *
Required
Someone from CCRI Adult Education will be in contact. What is the best form of contact for you? Please know that we cannot make calls after 4 PM at this time. *
Required
Please enter other comments or questions here: *
A copy of your responses will be emailed to the address you provided.
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