GED Test Voucher Form

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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 *

Student Full Name (required): *

Date (required): *

YYYY

Mailing Address (required): *

City (required): *

State (required): *

Ohio

Zip Code (required): *

Home Phone (required): *

Cell Phone (required): *

Date of Birth (required): *

YYYY

Preferred Method of Contact

mail

e-mail

home phone

cell phone

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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

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Submit

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This form was created inside of Ashtabula County Technical & Career Center.