NEO Adult Education Registration Form
Please fill out this form if you would like to participate in NEO's distance education classes. These classes are open to Indiana residents only.
Name *
Email *
Address *
City *
Zip Code *
Phone number *
Emergency phone number *
Birthday: *
Age: *
If I am 16 or 17, I can provide proof of a signed Exit Interview from the last K-12 school I attended *
I have a computer, and I am able to "attend" class online *
Class needed: *
Class Time Needed: *
My goals include: *
What do you feel is your skill level? *
Employment *
Gender *
I understand that online learning will be available while the NEO building is closed. However, once in-person classes resume, online learning will stop and students will be required to pay the one-time $20 registration fee, attend an in-person registration session, and continue classes at the NEO building. *
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