Admissions Application
Please fill out the application form carefully
Full Name
*
First Name
Last Name
Birth Date
*
Por favor seleccione un mes
January
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Por favor seleccione un día
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Day
Por favor seleccione un año
2024
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Year
E-mail
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Next
Educational Background
Elementary School Information
School name
Were you retained (repeated or held back) in any grade level while in elementary school?
*
No
Yes
Not Sure
If yes, which grade did you repeat?
Kindegarten
1st
2nd
3rd
4th
5th
Graduated
*
Yes
No
Other
Middle School Information
School name
Were you retained (repeated or held back) in any grade level while in middle school?
*
No
Yes
Not Sure
If yes, which grade did you repeat?
6th
7th
8th
High School Information
School name
Did you complete high school?
*
No
Yes
What was the last grade you completed of high school?
9th
10th
11th
Please briefly explain the circumstance behind your decision to not finish high school.
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Next
Program Information
Are you new to TLD?
Yes I'm a new student
No I'm a returning student
I applied before but didn't complete a class
Which program are you applying for?
*
Seleccione
GED Preparation Class
Private Literacy Tutoring (Learn to read)
ESL/ELL (English Language Tutoring)
Our classes are all online. Do you have access to technology to login to Zoom for classes?
Yes I have a computer, laptop, tablet or iPad with internet (Recommended)
Yes, but only my cellphone
No, I have no technology to use but I can get one
I'm not sure
Have you taken the TABE test anytime within the last year?
*
Yes
No
Not Sure
Financing
If admitted to the program, how do you plan to pay for your tuition? (Session Tuition- $250)
*
Sponsorship (From a Community Partner or Program)
Out of pocket ("I will pay the tuition myself") (Payment plans available)
Other
If marked "other" please explain.
Phone Consult
Schedule a time to discuss your class options
Pick your available time
Submit
Should be Empty: