College & Career Readiness Orientation Request
HIGH SCHOOL EQUIVALENCY AND ADULT BASIC EDUCATION CLASS ORIENTATION SIGN UP

PLEASE COMPLETE THE FORM BELOW. YOU WILL RECEIVE A TEXT FROM REMIND.COM TO THE CELL PHONE NUMBER PROVIDED. PLEASE ACCEPT IT TO RECEIVE IMPORTANT ORIENTATION INFORMATION.

First and Last Name *
Your answer
Email address
Your answer
Date of Birth *
All minors MUST complete a Minor Petition Form and Minor Interview BEFORE attending an orientation.
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/
DD
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YYYY
Cell Phone *
Your answer
Other Phone
Your answer
Mailing Address (include full street address, city, state and zip code) *
Your answer
Orientation Location Interested in attending *
I am interested in attending: *
Other Comments
Your answer
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