GED Test Voucher Form
In order to provide you with the $80 GED Voucher, we need to obtain some basic information. Please complete the application below and hit SUBMIT. You will receive by e-mail an assigned voucher number from the Ashtabula County Technical & Career Center (A-Tech) within 3 business days.
* Required
Email address
*
Your email
Student Full Name (required):
*
Your answer
Date (required):
*
MM
/
DD
/
YYYY
Mailing Address (required):
*
Your answer
City (required):
*
Your answer
State (required):
*
Ohio
Zip Code (required):
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Your answer
Home Phone (required):
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Your answer
Cell Phone (required):
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Your answer
Date of Birth (required):
*
MM
/
DD
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YYYY
Preferred Method of Contact
mail
e-mail
home phone
cell phone
Clear selection
Reason(s) for taking the GED® test (please check all that apply):
Seeking new employment
Required by current employer
Planning to enroll in post-secondary education
Personal development/growth
Other:
Are you interested in an on-site visit at A-Tech to learn more about career counseling and educational program opportunities? (If you answer YES, this additional service will not interfere with processing the voucher number.)
Yes
No
Clear selection
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