2020-2021 GED/AR Registration Form
Minot Adult Learning Center registration for GED, Academic Review or College Prep
Your Name *
Please enter your First and Last Name
Birthdate *
Age *
Phone Number *
Additional Phone Number
Please provide additional phone number if applicable
Your Email *
Street Address *
City, State, Zip Code *
Employment Status *
If employed, where?
Program *
Gender *
Marital Status *
# of Dependent Children *
Click on the number of dependent children
Hispanic/Latino? *
Race *
Last Grade Level Completed *
Last School Attended *
Location of Last School *
Contact Person Name *
Relation *
Contact Person Phone Number *
Barriers
Click all that apply
Official Registration Date *
Please choose an official registration date. This will be a full day registration (9am - 4pm) with an hour lunch break. Class information and skill assessments in Reading and Math will be included.
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