Region 9 ESC AEL Student Interest Form
Thank you for your interest in the Region 9 ESC Adult Education and Literacy Program Services. By completing the form below, you give us your permission to receive information (by e-mail, text message, or by phone) regarding educational services that we provide. *indicates answers are required.
What educational services are you looking for?
English as a Second Language (ESL)
Workplace Literacy United Regional (Wichita Falls)
Workplace Literacy Tyson Food (Vernon)
Texas Certificate of High School Equivalency (formally GED)
Certified Nursing Assistant
Food Handler's Certification (in Partnership with Wichita Falls Area Food Bank)
Food Protection Manager's Certification
College and Career Transitional Services
Would you like DAY or Night Classes?
Are you 19 years of age or older?
No (*needs additional forms. Go to
to find forms)
What county are you located in?
Were you referred by any of the following agencies?
Workforce Solutions of North Texas
Housing Authority of Wichita County
Texas Health and Human Services
Texas Department of Assitive and Rehabilitative Services (DARS)
Wichita Adult Literacy Council
Catholic Charities Diocese of Fort Worth
Texas Department of Probation and Parole
Independent School Districts
How did you hear about our classes?
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service