UUSD Adult School Pre-Enrollment Form
Email address *
***ALL HIGH SCHOOL DIPLOMA APPLICANTS MUST HAVE AN OFFICIAL COPY OF THEIR TRANSCRIPTS AT THE TIME OF ENROLLMENT***
Date (Fecha): *
MM
/
DD
/
YYYY
First Name (Nombre) *
Your answer
Last Name (Apellido) *
Your answer
Contact Number (Número de Teléfono) *
Your answer
Email (Correo Electrónico)
Your answer
I am (Soy) *
What program are you interested in? (En qué programa estás interesado? *
How did you hear about us? (Cómo se enteraron de nosotros?) *
If other, please specify (En otro caso, por favor especifica)
Your answer
Our office will contact you to schedule an appointment to complete registration and placement test within 72 hours.
A copy of your responses will be emailed to the address you provided.
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