High School Equivalency Registration 2022-2023
FOR AGE 21 AND OVER.  Please answer the following questions needed for intake.  ALL INFORMATION IS CONFIDENTIAL BUT REQUIRED FOR INTAKE.
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Email *
First Name *
Middle Initial
Last Name *
Date of Birth (month/day/year) *
Address (# Street, Apt) *
City *
Zip Code *
Cell Phone Number (include area code) ###-##-#### *
Gender *
Have you ever taken and/or passed any Regents exam? *
Have you ever taken and/or passed any section of the TASC or GED exam (2002 to present)? *
We offer classes at various times.  Please let us know what time is best for you to attend class. (Check all that apply.) *
What form of transportation will you use to attend school? *
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