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Adult Education Interest Form
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last name
*
Your answer
Phone number
*
Make sure to use the Area Code + Contact Number.
Example:
6162343172
Your answer
Are you a Returning Student? Have you been a student in our Adult Education ESL Program before?
*
Yes
No
What time might work best for you?
*
Monday - Thursday 9:15 AM - 11:15 AM
Monday - Thursday 6:00 PM - 8:00 PM
Saturdays 9:00 AM - 3:45 PM
I understand that I must attend to an orientation and take a CASAS Pre-Test
*
I understand
Required
I understand that I must pay a $5 non-refundable fee for testing (new students) and $25 non-refundable fee if I am enrolled for the classes.
I understand
A copy of your responses will be emailed to the address you provided.
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