Fletcher's Work Ready U Enrollment Application
Please contact our office by phone (1-985-448-5925 or 1-985-448-5922) OR by email (
) if you have any questions and/or concerns.
Social Security Number
Date of Birth
Primary Phone Number
Are you of Hispanic/Latino origin?
American Indian or Alaska Native
Black or African-American
Native Hawaiian or Other Pacific Islander
Current Employment Status
Unemployed - Not looking for work
Not in Labor Force
If employed, name of employer? (If not employed, please just enter N/A)
If employed, employment date? (If not employed, please just enter N/A)
If employed, Occupation? (If not employed, please just enter N/A)
Highest degree, or level of completion?
No formal school
Completed 1 year
Completed 2 years
Completed 3 years
Completed 4 years
Completed 5 years
Completed 6 years
Completed 7 years
Completed 8 years
Completed 9 years
Completed 10 years
Completed 11 years
Completed 12 years (HS Diploma not earned)
Completed 13 years
Completed 14 years/Assoc Degree/Technical Diploma
Completed 15 years
Completed Bachelor Degree
Completed beyond Bachelor Degree
High School Equivalency
Certificate of Attendance or Completion (HS only)
Post Secondary Degree/Certificate Earned
Completed 12 years (HS Diploma Earned)
What would you like to do?
I want to earn a high school equivalency diploma (HiSET, formerly GED)
I want to work on my reading, writing, or math skills
I want to learn English
I want to prepare for a college entrance exam (Accuplacer)
I want to work on my computer skills, financial skills, or health literacy
I want to start college classes while working on my reading, writing, and math skills
I want to participate in workforce trainings while working on my reading, writing, and math skills
I want to start college classes while earning my high school equivalency diploma
I want to explore career options
Please type your name verifying that all of the information provided is completed to the best of your knowledge, true, and correct.
Send me a copy of my responses.
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