2019 - 2020 HVAE Registration Form
Thank you for your interest in Hiawatha Valley Adult Education! Please answer the following questions and one of our intake specialists will contact you with more information.

"Our goal is to help you reach your goals!"
First Name
Your answer
Last Name
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Telephone Number (Please make sure voice mailbox is set up)
Your answer
Additional Telephone Number
Your answer
Email Address
Your answer
What HVABE program are you interested in?
What is your preferred method of contact?
What is the best time to contact you?
Where would you like to attend the GED, Adult Diploma, ESL and/or ABE classes?
Please check any that apply to you:
Additional information or questions?
Your answer
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