Spanish (Latin America)
Career Training Registration
Please fill out the following form in order to start the process of enrolling in Career Training classes with Washington Township Adult Education. Allow 72 hours for a member of our staff to reach out to you.
What program at Washington Township Adult Education are you interested in enrolling in?
Career Training (High School Diploma REQUIRED)
If you have a US high school diploma and are a US citizen, which Career Training are you interested in?
Certified Nursing Assistant (CNA)- Now Enrolling
Medical Interpreting class (BTG)- Now Enrolling
Dental Assisting class
Word (morning class)
Word (evening class)
Excel (Afternoon class)
Excel (evening class)
Construction (OSHA 10)
Social Security Number or ITTN
(if no Social Security fill in all 1's)
Has COVID-19 resulted in any of the following in your life:
Reduced hours at work
Change in childcare
Working from home
Filed for unemployment
Myself or someone I know was infected with COVID-19
My children do e-learning at home now
My usual fitness routine has changed
Reduced/limited contact with family
None of these
Street Address Line 2
State / Province
Postal / Zip Code
County of residence
i.e. Marion County
Please enter a valid phone number.
Date of Birth
Prefer not to say
Are you a US Citizen?
Currently in application process
If you are not a US citizen, do you have a work permit?
Working on it
Are you currently employed?
Where do you work?
What is the highest level of schooling you received?
Grades 9-12 NO DIPLOMA
Certificate of Completion (Disability/IEP)
High School Equivalency
High School Diploma
Some Post-secondary (NO DEGREE)
Certification or other non-degree technical program
Name of the last school you attended:
Was the last school you attended in the US?
Are you currently enrolled in school?
If yes, what is the name of your current school?
Do you claim any dependents?
How many dependents do you claim?
What is your annual household income?
Have you previously been a student at Washington Township Adult Education?
How did you find out about Washington Township Adult Education?
Select any of the following demographics that apply to you:
Live in an urban area (in the city)
Live in a rural area (outside of the city)
Currently laid off or terminated
Non-English used at home
Active Military (or military spouse)
Cultural Barriers to Employment
I am enrolling in an adult basic education (ABE) program. This ABE program works with the following programs and agencies to help students improve their skills and earn better jobs: other state-funded adult education programs; WorkOne offices and job training programs; public and private colleges; state executive offices, departments, and agencies (including the Indiana Department of Workforce Development); and the division of Adult Education and the Indiana Department of Education. By signing this form, I understand and agree to the following: DWD use of directory information (name, address, birth, and social security number) to match test score records, wage information, and college/training program enrollment records that assist the state to evaluate and improve its programs and to report results to the federal and state government and the sharing of information between the agencies and programs listed above. This information may include my name, enrollment information, education/career goals, test scores, and employment history. The information will be kept strictly confidential and will be used for program administration, research, and evaluation purposes. By filing in your full name below you are agreeing to these terms. Please type your name and date below. Students under the age of 18 must have this consent form signed by the student’s parent or guardian.
I give WTAE permission to share photo images and student approved testimonials on WTAE social media platforms, website, and partnering state agencies.
There is a $20 non-refundable registration fee that you must pay before starting classes. How would you like to pay?
Should be Empty: