Online Mankato Adult Education Intake Form
Thank you for expressing interest in taking classes through Mankato Area Adult Education. Please fill this form out for one person at a time. If you have any questions or problems with the form, please call (507) 345-5222.
Tennessen Warning: We needed to ask you for the following information for our program records: Name, birth date, gender, race/ethnic group, employment status, social security number. If you choose not to type the Social Security number in here, we can take that over the phone. We may share some information with teachers and other staff of Mankato Area Public Schools. We report this information to the MN Department of Education for annual reporting and funding. We will only share this information with other organizations if you give us permission. I have read this: *
Have you ever taken classes at an Adult Education school before? *
Full Name *
First, Middle, Last
Social Security Number
If you have a social security number, please enter it below (or you can tell us this over the phone)
Street Address and Apartment #, City, Zip Code *
Phone Number *
Email address *
Gender *
Birthdate *
MM
/
DD
/
YYYY
Ethnicity *
What Country were you born in? *
What is your Primary Language? *
Work Status *
Education completed in the USA *
Years of education in your home country, not in the USA
You can skip this questions if you have NEVER attended school outside of the USA. Only answer is you have ever attended school outside of the USA.
Clear selection
Please check any of these, if they apply to you.
You can choose more than one.
Do you have a job counselor, mental health worker, financial worker or anyone who has told you to come to Mankato Area Adult Education? *
Please write your Job Counselor's agency, name, email, phone and/or fax number
What do you want to study? *
Required
In which school district do you reside? *
Thank you. We will contact you within 2 business days. What is the best day/time to contact you?
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