Operation Equivalency 2018-19 Registration
Thank you for your interest in applying to study with Operation Equivalency!

This form will help us learn more about you and your needs, to place you in an appropriate program and, if necessary, help you with other matters that will help you reach the success that you are seeking.

If you have any questions, please don't hesitate to come to our office at Taino Towers or give us a call.

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Primary Language
Ethnicity:
Have you taken the GED or TASC?
What program(s) are you applying to?
What time of day do you prefer for classes?
Did you have an IEP (Individualized Education Program)?
Are you currently employed?
Do you currently receive public assistance/HRA?
Please indicate your immigration status:
How did you hear about us?
Your answer
Were you sent to this program by HRA?
Were you sent to OE by referral?
If you were sent by referral, by which agency?
Your answer
Which of the following might be barriers to your ability to commit to this program?
Do you have medical coverage/health insurance?
Do you need help with housing?
Are you in need of legal aid?
Is there anything else you'd like us to know about you before you submit your application?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service