Tustin Adult School Registration Spring 2021
Please complete this form to begin your registration to Tustin Adult School for the 2020-2021 school year. Once your registration from has been verified by Tustin Adult School Staff, you will be emailed a link to schedule the assessment component of your registration.
Email address *
Personal Information
The demographic information you provide will be used to contact you by staff and teachers and provide statistics on the student population attending Tustin Adult School.
First Name *
Middle Name
Last Name *
Attended Tustin Adult School before? *
Address *
Apartment #
City *
Zip Code *
Primary Phone Number *
Primary Phone Number is... *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Please check All categories that apply to you: *
Required
Ethnic Background (Please select ONE): *
Language Spoken at Home: *
Country of Origin:
Total Annual Family or Household Income (Please select ONE): *
Marital Status *
Number of Children: *
Number of Children currently enrolled in K-12 classes? *
Employment Status *
Education Information
In this section, you will share about your past educational experience before attending Tustin Adult School.
Number of years of school completed *
The majority of my schooling was outside the U.S. *
Highest Level of school completed *
I earned the above outside the U.S. *
Emergency Contact
Emergencies are unplanned and expected. Please provide information below that could be used in case you are involved in an emergency, such as who you want Tustin Adult School to contact and any/all information you wish for us to provide medical personnel.
Emergency Contact First Name *
Emergency Contact Last Name *
Phone Number *
Phone Number Type *
Relationship to you: *
Do you have any allergies?
Clear selection
Please list your allergies:
Are you taking any medications?
Clear selection
Please list medications to share with medical personnel in an emergency:
Please list any other important information to share with medical personnel in an emergency
Classes and Technology Access
As California schools are still being affected by COVID-19, Tustin Adult School will deliver classes online and limited in person for Spring 2021. Please answer these questions to help Tustin Adult School determine how to support students during the spring.
Please mark the program you are looking to enroll in *
Required
Have you ever taken a class online? *
Which device(s) for online learning do you have to use? *
Do you share this computer, laptop, or other device with others at home? *
How do you connect to the internet? *
A copy of your responses will be emailed to the address you provided.
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