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GED Application Form
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* Indicates required question
Email
*
Your email
Student Name and ID Number
*
Your answer
Student Grade
*
Freshman
Sophomore
Junior
Senior
5th Year
List Contact & Guardian Phone Numbers (With Names)
*
Your answer
Why do you need to get a GED?
*
Credit Deficient
Behavior
Attendance
Other:
Required
Do you receive either of the Following Services?
*
Special Education - IEP
English Language Development - ELL
I do NOT receive either Special Education or English Language Development Services
Required
To complete a GED you must complete four exams. Which areas/subjects do you struggle in? (Select All That Apply)
*
Math
Language Arts/Comm
Social Studies
Science
Required
Do you have the ability/transportation to attend school in the afternoon? Approx 12:20p-3:20p each day.
*
Yes
No
Other:
Do you work outside of school or want to get a job?
*
Currently working.
Not Working
Want to get a job.
Do you have a Current Oregon State issued ID or a Drivers License?
*
Yes
No
If you do not have an ID, do you need help getting one?
*
Yes
No
I already have one.
What are you plans after you finish your GED?
*
Your answer
Do you need help connecting with a Community College or a Training school?
*
Yes
No
Maybe
Please share any other applicable information we need to know regarding your placement within our GED Program.
Your answer
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