GED Program Enrollment Interest Survey 
This survey aims to gather information regarding your interest in enrolling in our programs. Your responses will help us understand your needs and preferences, allowing us to tailor our offerings effectively. Once we receive the survey, someone will reach out to you to schedule an interview. During this meeting, you’ll have the opportunity to learn more about the program and take the placement assessment for entry. Please provide your insights in the following areas:
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Name:  
Address: 
Phone number: 
Email: 
Age: 
Date of Birth: 
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At ASN Prep, we offer wraparound services to provide extra support and ensure your success. Each program is tailored for students who have been out of school and want to earn their high school diploma. There are specific requirements for enrolling in each program:  
-YES (Youth Experiencing Success) Program: This program is for youth who have been out of school for  120 days and wish to re-enroll. 
-YS3 (Youth Skills, Scholars, and Services) Program: This program supports youth in care who are looking to re-enroll in school. 
- RSP (Re-Enrolled Student Project) Program: This program helps students get back into school. Choose the program you'd like more information about or that best fits you.
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Are you employed? 
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What are your work hours? 
How long have you been out of school? 
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Last school attended: 
Preferred Start Date: When do you anticipate beginning your studies?
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Do you prefer morning or evening classes?
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What programs would you be interested in participating in?
Additional Comments: Please share any other thoughts or questions you have about the enrollment process or program offerings.
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