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Community Action  - Duluth Adult Education GED Prep/Diploma Step 1 Registration Form
Welcome! Please complete the registration form below.

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First Name *
Last Name *
Middle Name *
Nick Name/Preferred Name
Pronouns (she/her, he/him, they/them, etc.)
Email *
Primary Phone *
Street Address *
City, State, Zip                                                         County *
Date of Birth *
MM
/
DD
/
YYYY
Age
Gender: *
Hispanic *
Race (Choose only one) *
Work Status  (Choose only one) *
Do you receive public assistance? (Choose only one) *
Highest Formal Education (Choose only one) *
Education Location *
Factors that challenge you to meet your educational or career goals  (Check all that apply)
Social Security Number: Providing your SSN helps us meet state and federal reporting requirements.  We do not share your SSN with anyone. *
Tennessen Warning: We need to ask you for the following information for our program records: name, birth date, gender, race/ethnic group, employment status. We may share some information with teachers and other staff of Duluth Public Schools. We report this information to the MN Department of Education for annual reporting and funding. We will only share this information with other organizations if you give us permission. Thank you. I have read this: *
Are you the caregiver/parent/guardian for a student(s) enrolled in K-12, Pre-school, or ECFE through Duluth Public Schools?
Clear selection
Does your phone receive text messages?
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What is the best way to contact you?
Clear selection
Check which devices you have access to (choose all that apply):
Do you have access to reliable internet service?
Clear selection
What barriers might affect your learning? (Some examples are transportation, health issues, learning disability, work schedule, etc.)
We use multiple online learning platforms: Edmentum, IXL and Northstar. When you are enrolled in one of these platforms, you are able to study and take classes online when it is convenient for you. If you would like access to an online learning platform, please check the platforms and content you'd like access to:
If you checked any of the above boxes, an account will be created for you and login information will be emailed to you.
What was the last grade you completed? *
If you think you were short fewer than 5 credits to earn your diploma, your transcript can be reviewed and you may be able to earn a diploma instead of a GED. Would you like your transcript reviewed?
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If you checked "Yes" please ask CAD staff for the paper form "Request for High School Transcript" to complete and turn in.
Any additional information we should know:
Thank you for completing this registration form. We wish you all the best as you begin working toward your GED, Diploma or Computer Skills Improvement!
In order to complete your registration, there is a Reading Pre-Test OR a Math Pre-Test we are required to give to students. 

These pre-tests do not impact your eligibility. You cannot pass or fail them. They simply tell us your current level.  

Why are the tests required? In short, it is what allows us to offer our free programming to students. In order to receive federal and state funds, these tests are required.
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