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Adult Education Student Registration Form - English & Spanish / Formulario de inscripción de estudiantes de educación para adultos - Inglés y Español
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* Indicates required question
Email
*
Your email
Are you a U.S. Citizen, or are you legally allowed to be in the United States? Documentation will be required at orientation. We're sorry to ask, but this is a new requirement, per federal and state governments.
¿Es usted ciudadano estadounidense o tiene permiso legal para residir en Estados Unidos? Se le solicitará documentación durante la orientación. Lamentamos preguntarle, pero este es un nuevo requisito, según los gobiernos federales y estatales.
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Yes
No
Last name / Apellido
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Your answer
First name/. Primer nombre
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Your answer
Phone number. /. numero de telefono
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Your answer
Gender / Sexo
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Male / Masculino
Female / Femenino
Prefer not to say / Prefiero no decir
Date of Birth / fecha de nacimiento
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MM
/
DD
/
YYYY
City? Ciudad?
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Your answer
State? estado?
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Your answer
Select Your Goal / Selecciona tu objetivo
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CNC / Precision Machining
I want to earn a High School Equivalency Diploma (GED) in the evening class.
Welding
Buiding Trades / Construction
I want to Learn English in the morning class / Quiero aprender ingles en la clase de la manana
I want to earn a High School Equivalency Diploma (GED) in the morning class.
Auto Mechanics
I want to learn English in the evening class/Quiero aprender ingles en la clase de la noche
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