KentISD Registration

Kent ISD Adult Ed Registration
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Kent ISD Class Selection
How would you like to attend class?*

In Person Only ClassesOnline Only Classes
Computer Agreement

In order to take online classes, you must provide your own laptop or desktop computer. Please understand that the online classes CAN NOT be done on a phone. If you have chosen to do online classes, but do not have a computer you will be unable to start online classes until you have a computer and will be asked to start in-person classes. You will need to show proof of a computer or laptop at your orientation. Please sign the below statement agreeing that you have read these terms and conditions.
"I agree that I do in fact have a computer or laptop to do online only classes and will bring it in for my orientation. I understand that I cannot attend the online class on a cell phone. If I do not have a computer at my orientation, I understand that I will need to start in-person classes until I provide proof of a computer for the online classes."
Participant Signature*

Clear
Date*

MonthDayYear
Date
Online only students will still need to come into a location in person to complete registration/orientation before attending their first day. Please select the location closest to you for your orientation.
What location are you interested in?*

Beckwith (2405 Leonard St NE, Grand Rapids, MI 49505)Wyoming (3600 Byron Center Ave SW, Wyoming, MI 49519)
Beckwith
What type of class are you looking for?

ESL (English as a Second Language)GED (General Educational Development)
Beckwith Appointment
Wyoming
What type of class are you looking for?

ESL (English as a Second Language)GED (General Educational Development)
Wyoming Appointment
Print Attend Type
Print Location
Print Class Type
Print Appointment

Career and Technical Education (CTE) Classes
Throughout the year we offer additional classes to our enrolled students in:

Automotive Maintenance & Servicing

If you love cars, trucks, and other vehicles come learn the basics of vehicle maintenance! Prepare for entry level jobs that can help jump start your career in auto repair. Learn the foundations of any career in the auto industry with OSHA safety guidelines, vehicle service information, and routine maintenance. Along the way, you'll learn: preventative maintenance, servicing belts, hoses, filters, tires, filters, cooling system components, and more!

Construction

If you like building and fixing things, come build a bright future in this program! You'll explore a variety of trades and skills used in construction, plus earn 10-hour OSHA safety certification required for jobs in this field and others. Lay the foundation for an exciting career in Construction!

IT Fundamentals

If you enjoy working with computers or figuring out how tings work, consider a future in IT. This fast growing field is always hiring technical, network and help desk support, plus programming, security and more! Learn the groundwork to get started and determine which segment of this broad field is right for you!

Pharmacy Technical

If you are interested in healthcare and helping people by treating aliments consider a future in the pharmacy! Learn your way around a pharmacy plus prepare to take the Pharmacy Technician Certification Exam which will allow you to work in hospitals, nursing homes and retail pharmacies.

Phlebotomy

If you are interested in the medical field and enjoy working closely with people, become a phlebotomist! A phlebotomist is a person trained to draw blood. In this program, you'll gain the skills and knowledge you need to find a job in medical testing, donation centers, or research facilities. Phlebotomists are in demand and the field growing!

Welding

If you like working with your hands and with tools (think flame cutters, hand welders, measurement devices) come join us in Welding! Learn one of the most in-demand skilled trades in West Michigan. Work with virtual reality and actual welding equipment as you learn several ARC welding techniques. We'll provide the protective clothing needed for this class.
Are you interested in receiving more information about enrolling in these classes?

I am interested in CTENo
Participant Follow-up Notice
As part of our registration process and during your instruction time in our program, we will be asking you to update your contact information and provide alternative contact information. Once you leave our program, you may be contacted so we can receive valuable feedback from you and any suggestions for improvements. We will also conduct a brief *Follow-Up Survey' to determine if you received a high school diploma or equivalency, enrolled in postsecondary education or training, and/or obtained a job. When you are contacted, the survey will only take a few minutes of your time and your answers are confidential but extremely important. Our program will only use your contact information for this Follow-Up Survey.

Your registration information, such as Social Security number, will be used to research and evaluate the effectiveness of Adult Education programs through data sharing with other State of Michigan data systems, including high school equivalency testing, postsecondary enrollment, and employment.

Please note, the State of Michigan does not report individual performance results. Performance results for Adult Education programs are aggregated totals.

Signing below indicates:
- I have received a copy of this notice and this information has been explained to me.
- I authorize the Talent Investment Agency to use my Social Security number to obtain employment information from State of Michigan data systems.
- I understand that the Talent Investment Agency will not disclose my Social Security number and will comply with laws and regulations governing Social Security number use and client privacy.
Participant Signature

Clear
Date*

MonthDayYear
Date

Records Request and Release of Information
Name
Date of Birth*

MonthDayYear
Date
Maiden Name
If applicable
Last Grade Completed
Last Year Attended
Last High School Name*
High School Fax Number
Address of last High School
Please Send the Following

Immunization RecordsIEP, Evaluation Team Reports, and Diagnostic FindingsDiscipline ReportCurrent GradesTranscript
Beckwith Records
Macayla Wilson
2405 Leonard St NE, Grand Rapids, MI 49505

MacaylaWilson@kentisd.org

Fax: 616-819-3272
Wyoming Records
Jamie Groendyk
3600 Byron Center Ave.
Wyoming, MI 49519

JamieGroendyk@kentisd.org

Fax: 616-531-8350
Records can be sent to
I have read and understand this consent, or had it read to me in a language that I understand, and*

I hereby authorize the release of the above information to Kent ISD Adult Education and authorize Kent ISD Adult Education to engage in two way (Kent ISD/Member District) verbal, electronic or written communication in order to share records and information listed above for one year from date listed below.Do not authorize any information to be shared at this time. and authorize Kent ISD Adult Education to engage in two way (Kent ISD/Member District) verbal, electronic or written communication in order to share records and information listed above for one year from date listed below.
Signature*

Clear
Date

MonthDayYear
Date

I wish to participate in the Jobs for Michigan's Graduates program. By signing this commitment, I will:

1. Maintain at least weekly contact with my JMG Specialist.

2. Work closely with my JMG Specialist to enroll in a GED or high school completion program.

3. Prepare myself to obtain or maintain a job while working to earn a GED or diploma, even if I plan to pursue additional education (postsecondary, college, vocational or other training).

4. Participate in activities that demonstrate my achievement of the JAG employability competencies.

5. Be an active member of my JMG program and participate in activities, field trips, talent tours, guest speaker visits and conferences as my schedule permits.

6. Do whatever it takes to improve my basic and employability skills.

7. Show a positive attitude and follow through on commitments I make to the JMG program and my Specialist.

I grant permission to Jobs for Michigan's Graduates and/or media outlets (newspapers, TV stations, etc.J to Interview, photograph and/or videotape me and/or my minor child or ward and further to display and/or otherwise use my and/or my minor child's or ward's name, face, likeness, voice, appearance and statements forever and throughout the world, in all media, whether now known or hereinafter devised (including, without limitation, websites, advertisements, posters, banners, bulletin boards),without compensation, reservation or limitation.

By signing this form, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby, I hereby waive my claims I may have, and release Kinexus and Jobs for Michigan's Graduates and its employees from liability of claims arising out of such activities.

In addition to the above acknowledgement, I certify that I am 18 years of age or older.
Print Name
Signature

Clear
Date

MonthDayYear
Date

Photo/Video Release Form
Name
We love to promote our students and our schools. Sometimes we take pictures to share on our Facebook page, website and other media. Occasionally, we will have a marketing team from Kent ISD come to create promotional videos. Is it okay for Kent ISD Adult Education to take a photo or video of you in the classroom or during school activities?

YesNo
I grant permission to Kent Intermediate School District and its agents and its employees the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me or members of my family for the purpose of publication, promotion, illustration, advertising, trade in any manner or any medium - whether electronic, video, print or other medium. I hereby release Kent Intermediate School District and its agents and employees; for all claims, and liability relating to said images or video. Furthermore, I grant permission without restriction, to use my statements that were given during an interview or special event, with or without my name, for the purposes of advertising or publicity. I waive my right to compensation. I have read and fully understand this paragraph. By submitting this form, I grant permission.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Kent ISD Adult Ed Registration

Kent ISD Class Selection

Computer Agreement

Beckwith

Wyoming

Career and Technical Education (CTE) Classes

Participant Follow-up Notice

Photo/Video Release Form