Gonzales Adult School: Short Student Registration

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Event Timing: Summer 2021
Event Address: Virtual Classroom
Contact us at
‪(831) 290-0105‬ (Distance Learning Line) or adulted@gonzales.k12.ca.us
Follow us on Facebook, Instagram and Twitter

Email *

Student Status

New student

Returning student

Other:

Clear selection

First Name *

Last Name *

DOB *

YYYY

Mailing address *

City *

Phone Number *

Labor Status *

Employed

Unemployed

Not in Labor Force

Will soon be laid off

Seeking employment

Required

What class/es would you like to register for?

ESL: English As A Second Language (Morning Class)

ESL: English As A Second Language (Evening Class)

High School Equivalency (HSE) Test Preparation (HiSET/GED) (Morning Class)

High School Equivalency (HSE) Test Preparation (HiSET/GED) (Evening Class)

ESL Citizenship (Morning Class)

ESL Citizenship (Evening Class)

High School Diploma: Independent Studies

Basic Computer Literacy (Morning Class)

Basic Computer Literacy (Evening Class)

Low Literacy in Spanish (Morning Class)

Low Literacy in Spanish (Evening Class)

Latino Family Literacy Project (Morning Class)

Latino Family Literacy Project (Evening Class)

Forklift Certification

Paraprofessional Assessment (Instructional Aide)

Clerical: Typing Test

SERVICE: HiSET Testing

Other:

Please list the class, workshop, or certification you wish to take if it was not listed above.

How comfortable to do you feel using a smartphone? *

Not comfortable

Very comfortable

How comfortable do you feel using a computer or tablet? *

Not comfortable

Very comfortable

Which of the following devices do you have access to at home? *

Internet

Smartphone (iPhone, Android)

Computer (desktop, laptop, Chromebook)

Tablet

None of these

Required

There will be times throughout the school year where we would like to take pictures or videos of our class sessions or activities for the purposes to promote our school. With that said, Gonzales Adult School is requesting your permission to reproduce, through audio or visual means, your image while actively participating in activities related to this educational program. Note these pictures or videos may be published on our website, our social media page, or flyer with the sole purpose of advertising our school. *

Yes, I give permission for my image to be reproduced through audio or visual means.

No, I do not give permission for my image to be reproduced through audio or visual means.

Student Signature: Please type you name:: Hold Harnless Policy: Applicant agrees to defend, indemnify and hold harmless the (DISTRICT), its Board of Trustees, offices, employees, and agents from any and all legal losses or injuries arising from, or allegedly arising from, the negligence of the applicant, its employees and/or agents while attending classes and/or class activity.

Are there any other services we don't provide but is needed in our community?

Send me a copy of my responses.

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