ALC Student Application
Thank you for your interest in becoming a student at the Adult Learning Center. Please complete this application so we can process your enrollment and take care to make sure your information is entered correctly. It will take you approximately 30 minutes to complete this paperwork.
Email address *
First Name *
Last Name *
Date of Birth (DOB) *
Following state requirements, ALC students must be a minimum of 18.5 years old at the time they begin classes.
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Address *
Include house number, street name, and apartment/unit number (if applicable)
ZIP Code *
Email address
If you have an email address that can be used to contact you, please enter it below. If you do not currently have/use an email address, be sure to include a valid phone number below.
Phone number - Primary *
Please include area code
Is this a cell/mobile? *
Phone number - Secondary (optional)
Please include area code
Is this a cell/mobile?
Clear selection
I prefer... *
Have you taken a GED test before? *
If you have taken a GED test before, when was that?
Class Preference *
Morning classes are from 9:00am-12:00pm while Evening classes are from 4:00pm-6:30pm. The remote/at-your-own-pace options will have different engagement criteria to make sure you're still receiving the support you need.
Do you have a computer at home? *
Do you have Wi-fi at home? *
Preferred T-Shirt Size
The ALC often has school shirts and other items for our students!
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