High School Equivalency (HSE) Class Registration Form 2022-2023

Abisi Adult Education Center (AAEC)

High School Equivalency (HSE) Class Registration Form 2022-2023
Welcome...

This link is for HSE students only.

HSE classes help students to prepare to pass either the GED or HiSET High School Equivalency Exams.

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FOR ESOL Class Registration click the link below:

https://form.jotform.com/221593301604043

English Speakers of Other Languages (ESOL) must have a high level of English speaking, reading, and writing to participate in HSE classes.

HSE REGISTRATION INFORMATION

2022-2023
HSE Class Eligibility
- You MUST live in the Greater Lowell area.
  (𝘉𝘪𝘭𝘭𝘦𝘳𝘪𝘤𝘢, 𝘊𝘩𝘦𝘭𝘮𝘴𝘧𝘰𝘳𝘥, 𝘋𝘳𝘢𝘤𝘶𝘵, 𝘋𝘶𝘯𝘴𝘵𝘢𝘣𝘭𝘦, 𝘓𝘰𝘸𝘦𝘭𝘭, 𝘛𝘦𝘸𝘬𝘴𝘣𝘶𝘳𝘺, 𝘛𝘺𝘯𝘨𝘴𝘣𝘰𝘳𝘰 𝘰𝘳 𝘞𝘦𝘴𝘵𝘧𝘰𝘳𝘥)
- Present a photo ID and proof of address with your name on it. This can be shown at your placement testing appointment.
- New students, 16 or 17 years of age , must obtain a formal withdrawal form from the last school attended and be officially withdrawn more than 30 days before beginning classes.
Withdrawal forms can be:

- Mailed: Abisi Adult Ed. Center, 408 Merrimack St, Lowell MA, 01854
- Emailed: swaterhouse@lowell.k12.ma.us

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To Register For Classes
1. Complete and submit the registration and release of information forms. Forms only need to be submitted once. Duplicate forms will be deleted.
2. Check your email. An email will be sent out with important information once your registration has been processed.
3. Take the required placement test(s), if needed.
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Registraton is not a guarantee of class placement. We will do our best to place every student in a class, but there may be a waiting list.

We use a managed enrollment system. Students are invited to join classes at the beginning of each rotation. The number of students invited will depend on the number of spots available. Classes are filled on a first come, first served basis. Seats are limited.

HSE CLASS INFORMATION
Class Offerings:

HSE classes are offered either in-person or remotely from home.

Remote classes use Zoom and Google Classroom. You must have a stable internet connection, access to speakers or a headset/headphones and a camera.
I prefer to attend classes *

In-person Remote from home
Class Times:

In-Person Mornings: Monday through Thursday from 9:00 am-12:00 pm and Fridays from 9:00-10:45 am

Remote Mornings: Tuesdays, Wednesdays, and Thursdays from 9:00-12:00 pm

In-Person and Remote Evenings: Mondays and Wednesdays from 6:00-8:30 pm
I prefer to attend *

Morning Classes Evening Classes
How did you learn about our program? *

STUDENT INFORMATION
Name *

First Name Middle Name/Initial Last Name
Preferred name if different from above
e.g., Legal name is John, prefer Jack or Jackie;
Email *

Confirmation Email Enter none@none.com if you do not have an email address
Phone Number *
Please enter a valid phone number.
This phone number is a: *
Alternate Phone Number (if available)
Please enter a valid phone number.
This phone number is a:
Which is the best way to communicate with you?

Email Text message Phone call
Address *
e.g. 408 Merrimack St
Apartment #
e.g., Apt #4, 1st Flr, Unit 1223A
City *
Zip Code *
Mailing Address only if DIFFERENT from the above address
e.g., PO Box 123, Lowell MA 01111
Are you currently homeless or living in a shelter? *

Yes No
If yes, what is the name of the shelter or organization you are working with?
e.g., CTI, Lowell Transitional Living Center, House of Hope, Megan's House, DHCD, Merrimack House, etc)

STUDENT INFORMATION
How old are you today? *
Date of Birth *

Month Day Year
Social Security Number: *
Type 000-00-0000 if you do not have one
Sex *
Gender Identity *
Pronouns *

STUDENT INFORMATION
What is your current martial status? *

Single Married Legally Separated
How many children 18 and under live with you? *
Enter total number of children

STUDENT INFORMATION
Please list each child's birthdate and school they attend.
Child # 1: Date of Birth *

Month Day Year
Date
Name of school they attend *
Child # 2: Date of Birth

Month Day Year
Date
Name of school they attend
Child # 3: Date of Birth

Month Day Year
Date
Name of school they attend
Child # 4: Date of Birth

Month Day Year
Date
Name of school they attend
Child # 5: Date of Birth

Month Day Year
Date
Name of school they attend
List any additional children below
e.g, 10/10/2010 - Reily School

EMPLOYMENT INFORMATION
I am currently *

Disabled/Unable to work Retired Looking for work NOT looking for work

EMPLOYMENT INFORMATION

Working
I am *

Working for a company or for another person Self-Employed Working without pay for a family member
My job is *

Part-time (less than 30 hours/week) Full-time (more than 30 hours/week) Temporary employee
Number of hours worked each week *
Earnings ($) per hour *
What type of job do you have? *
If 'Other', type it here
What is your job or job title? *
e.g. Cashier, food server, machine operator, driver, office cleaner, housekeeper, CNA/PCA, etc.
Employer/Company Name *
e.g., Sal's Office Cleaner or Walmart
City or Town & State of Employment *
e.g. Salem, NH
What month and year did you start working at your current job? (Best estimate) *
If you are employed at more than one job, please tell us about your other job(s) (employer, occupation, hours worked each week, pay rate)
e.g., Walmart, cashier, 30 hours/wk, $17/hr

MEDICAL / DISABILITY INFORMATION

You are not required to disclose medical/disability information as a condition of enrollment. Any information you do share will be kept confidential and will not be shared without your permission.
Do you agree to share your medical/disability information with Abisi Adult Education Center staff? *

Yes No

EMERGENCY CONTACTS

Please provide information for 2 people that we may call in case of an emergency. Your contact should be at least 18 years of age. (It is very helpful for staff if your contact speaks English and lives in the area.) *Please enter "None" if you do not have an emergency contact.
Contact #1 - Name *
e.g., John Smith
Phone # *
Please enter a valid phone number.
Relationship to you: *
Contact #2 - Name
e.g., John Smith
Phone #
Please enter a valid phone number.
Relationship to you:

PLACEMENT TESTING

All students are required to take the MAPT tests in Reading and Math before they can begin classes. New students are required to take Locator tests first.
ALL STUDENTS ARE REQUIRED TO TAKE PLACEMENT TESTS

(1) Locator Placement Test: New Students Only

For first time or new students, Locator Placement Test information will be emailed to you once your registration form is processed. The email will contain links for a Reading test and Math test.

These initial tests are completed online using any tech device, such as a computer, laptop, tablet or Smartphone, and completed at your convenience.

After your Locator tests have been submitted, a staff member will contact you by email, text or phone to schedule an appointment to take the MAPT online test.

Contact us if you do not receive an email with Locator testing information after five school days from submitting your registration form. Check your spam/junk folders too. Our contact information is on our website.
(2) MAPT Testing: All Students

New students must complete the Locator tests first.

The Massachusetts Department of Elementary and Secondary Education (DESE) requires us to administer the MAPT (Massachuseets Adult Proficiency Test) test to ALL students enrolled in our program. Students are assessed 2 or 3 times a year.

DESE uses these tests to show students are learning in our programs, develop new curriculum program, and establish funding. Classes remain free to you because of DESE's funding and support.

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The MAPT tests are computer-based and given in Reading and/or Math. These are not pass or fail, but rather give us a baseline of what you know today.

The MAPT test is given by appointment only. You can choose to take it in-person or remotely from home.

If you choose to take it remotely, it will take place over Zoom. You must use a desktop computer, laptop, or tablet with a stable internet connection and camera. You will not be allowed to take this test on a Smartphone. The software is not mobile friendly.

A staff member will email or text you to schedule an appointment after all your information has been processed and/or submitted. Morning and evening appointments will be available.

Appointment reminders will be sent out as your date approaches.

If you are a no show for your appointment, you will need to contact us to reschedule.
I acknowledge *

I read and understand the above placement testing requirements/policies.
I prefer to take the MAPT test *

In-Person Remotely at home

RELEASE OF INFORMATION

DESE 2022-2023
Massachusetts Department of Elementary and Secondary Education
Adult and Community Learning Services

Release of Information

Dear Student:

The Massachusetts Department of Elementary and Secondary Education (DESE) funds your adult education program, Abisi Adult Education Center, and almost 100 others like it. In order to continue to support these programs, DESE must report information about students, including student outcomes, to the federal government.

After students leave their program, DESE collects information about their outcomes by matching their personal information with Department of Unemployment Assistance employment data, with GED and HiSET high school equivalency (HSE) test results, and with National Student Clearing House and Department of Higher Education postsecondary enrollment records. DESE combines the data sets and reports them to the federal government.

If you sign this Release of Information form, DESE will also share your employment data, HSE test results, and postsecondary enrollment information with your program, Click or tap here to enter text., so it can understand how well it is helping students. DESE and your AE program will not disclose this confidential information under any other circumstances unless required to do so by law.

Thank you.
I agree to the release of information as described above. *

Yes No
Your Signature (Use your mouse or stylus if you are on a computer/laptop; use your finger if you are using a smartphone or tablet with a touch screen)

Clear
Type your name below to serve as your electronic signature. *

First Name Last Name

RELEASE OF INFORMATION

Media and Scores 2022-2023
Please read the following information

I acknowledge pictures/photos/videos may be taken by AAEC staff and classmates throughout the year during classes, activities or special events like graduation. I understand that these pictures/photos/videos may be posted on our Website, social media pages, like Facebook, or school newsletter.

If I do not wish to have my picture included, I understand that it is my responsibility to step aside.

I acknowledge sound and video may be recorded by my teacher at any time while participating in remote classes.
I acknowledge *

I have read and understand to the above statements.
I give permission for the Abisi Adult Education Center instructional and administrative staff to view my GED/HiSET testing results. Testing results are used to determine my graduate status and to help develop programming at Abisi Adult Education Center *

Yes No
Type your name below to serve as your electronic signature. *

First Name Last Name

Your registration and release forms are now complete. Click "Submit" to send them to us.

Please allow 5 school days to process your forms.

Check your email for placement testing informaiton.

Remember to check your spam/junk folder, just in case.
Should be Empty:

Abisi Adult Education Center (AAEC)

Welcome...

HSE REGISTRATION INFORMATION

HSE CLASS INFORMATION

STUDENT INFORMATION

STUDENT INFORMATION

STUDENT INFORMATION

STUDENT INFORMATION

STUDENT INFORMATION

Please list each child's birthdate and school they attend.

EMPLOYMENT INFORMATION

EMPLOYMENT INFORMATION

EMPLOYMENT INFORMATION

EMPLOYMENT INFORMATION

EDUCATION

MEDICAL / DISABILITY INFORMATION

MEDICAL / DISABILITY INFORMATION

Specific Learning Disability

EMERGENCY CONTACTS

TECHNOLOGY

PLACEMENT TESTING

RELEASE OF INFORMATION

Massachusetts Department of Elementary and Secondary Education

RELEASE OF INFORMATION