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.
Email address *
Date (required): *
MM
/
DD
/
YYYY
Student Name (required): *
Your answer
Mailing Address (required): *
Your answer
City (required): *
Your answer
State (required): *
Zip Code (required): *
Your answer
Home Phone (required): *
Your answer
Cell Phone (required): *
Your answer
Date of Birth (required): *
MM
/
DD
/
YYYY
Preferred Method of Contact
Reason(s) for taking the GED® test (please check all that apply):
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.)
Submit
Never submit passwords through Google Forms.
This form was created inside of Ashtabula County Technical and Career Campus.