Application for High School Equivalency (HSE) Classes (Hybrid Program September 2024 -June 2025)

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This form is to take High School prep classes, not English classes. If you are looking for English classes please fill out this form:

https://docs.google.com/forms/d/e/1FAIpQLScT9J9n_7D4-bBxt9GqmUFtiXNti0kTSMfo8S6i0UjRwxAD4w/viewform

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The HSE classes are offered in the evening on Monday, Wednesday, and Thursday, from 6:00 - 8:15 PM. The classes are hybrid with one night of instruction online via zoom and google classroom and the other two nights in person.

A four night orientation is mandatory for these classes and will take place in August 2025 for classes beginning in September 2025 . The next Orientation is scheduled for the following evenings:

Dates and times will be announced shortly.

Michael Kelsen, HSE Advisor, will contact you via email with more specific information about orientation after applying.

A Distance Learning (DL) High School Equivalency self paced online class is an option if you cannot attend the set meeting times of Mon, Wed, & Thurs. evenings. Certain criteria must be met to enroll in the DL course. If interested, the first step is to send an email to: distancelearning@ebhcs.org.

Note: Fill out the form only once please; you will receive an email confirmation verifying your application. If you have further questions feel free to email Michael Kelsen: mkelsen@ebhcs.org

Email *

Today's Date: *

YYYY

Last Name: *

First Name: *

Middle Name:

Address: *

City: *

Zip code: *

Date of Birth: *

Gender: *

Male

Female

Prefer not to share/disclose

Do you have a Social Security Number? *

Yes

What are the last 4-digits of your SSN?

Mobile Number: *

Contact Preference:

Email Preferred

Text Message Preferred

Phone Call Preferred

Clear selection

What is your race? (please check the one that best matches your identity.): *

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

Are you Hispanic/Latino? *

Yes

Where are you from? *

Brazil

Colombia

El Salvador

Guatemala

Haiti

Honduras

Mexico

Morocco

United States

Venezuela

Other:

Please check your highest level of education: *

Elementary School Grade 1-5

High School (did not receive a diploma)

High School (received a diploma)

College / University (did not receive a diploma)

College / University (received a diploma)

No formal Schooling

Where was your highest level of education completed? *

In the United States

Outside of the United States

Are you currently employed? *

Yes

If you are employed, where are you currently working?

How did you hear about our program? *

Another Community Program

Co-Worker

Current Student

Family

Friend

Found our Website

Mail

Have you ever studied or taken Adult Education classes in the United States? *

Yes

If yes, where have you taken these Adult Education classes?

What type of class do you prefer? *

In Person / Face to Face (F2F)

Remote Learning (all online)

Hybrid (combination of both remote and F2F)

A four night orientation is mandatory for these classes and will take place in August 2024 for classes beginning in September 2024. The next Orientation is scheduled for the following evenings:

- Monday, August 26th

- Wednesday, August 28th

-Wednesday, September 4th

-Thursday, September 5th

I agree to attend these four nights.

I cannot attend all four nights (we will contact you directly).

A copy of your responses will be emailed to the address you provided.

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