APDC Student Registration Form
This form is for NEW students only.

To register for class:

1) Complete the information below.

2) Take a test at APDC (1537 Alton St, Aurora 80010) Monday, March 29 - Friday, April 2 at 9am, 12:30pm or 6pm. The test is required in order to be registered in our program.

3) Start class Monday, April 5, 2021. Classes are online.

For questions, please contact Heidi at 303-923-2940 or adulted@apdc.org
Gender *
Required
Birth Date *
MM
/
DD
/
YYYY
First Name *
Middle Name
Last Name *
Cell Phone Number *
Home Phone Number
Email Address
Street Address *
Apartment Number
City *
State *
Zip Code *
Country of Origin *
First Language *
Race / Ethnicity *
Required
Highest Level of Education *
Required
School completed in: *
Required
Work Status *
Required
Other Information
What are your goals?
How did you hear about us?
Did you come to the U.S. as a refugee? *
Required
If you came to the U.S. as a refugee, when did you arrive in the U.S.?
MM
/
DD
/
YYYY
If you came to the U.S. as a refugee, what was your resettlement agency?
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