Student Registration Form for Lawrence ABE/GED Session Beginning January 9th (Enrollment Deadline: January 4th) MANDATORY ORIENTATION: January 9th - 12th FIRST DAY of CLASS: Tuesday, January 17th

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Please submit enrollment information and a staff member will follow up with you on details about our next session

Email *

Please Select the GED Session you are most interested in attending *

Morning Session (8:30 - 11:30)

Afternoon Session (12:00 - 3:00)

Evening Session (5:30 - 8:30)

Required

First Name *

Middle Name

Last Name *

Birth Date *

YYYY

Gender *

Male

Female

Non-Binary

Prefer not to say

Phone Number *

Is there an additional phone number of someone who knows how to contact you if we do not have success with the previous number? Please provide Name and Number.

Address (including town, state & zip code) *

Have you previously been enrolled in a GED program? *

Yes

If you answered "Yes" in the previous question, please tell us where you were previously enrolled in a GED program.

Please tell us if there is anything you would like us to know about your current situation that will allow us to meet your educational needs.

Thank you for filling out this form. After you click "submit" your information will be recorded. As the orientation date approaches, your intention to attend will be confirmed by a member of the Adult Learning Center staff.

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

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